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Organization

VALLEY FOOT & ANKLE

Active
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Organization

VALLEY FOOT & ANKLE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KELLY A GOMEZ DPM (OWNER)
(801) 375-6677
Entity
Organization

Contact information

Practice address
777 N 500 W STE 103, PROVO, UT 84601-1552
(801) 375-6677
Mailing address
777 N 500 W STE 103, PROVO, UT 84601-1552
(801) 375-6677

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
367951-0501
UT

Other

Enumeration date
08/24/2018
Last updated
08/24/2018
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