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Organization
WEST VALLEY FOOT & ANKLE CENTER
Active
Organization
WEST VALLEY FOOT & ANKLE CENTER
Active
Other names
Bountiful Foot & Ankle Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG ALAN MCMANAMA DPM (PRESIDENT DOCTOR)
(801) 966-3556
Entity
Organization
Contact information
Practice address
513 W 2600 S STE 513, BOUNTIFUL, UT 84010-7717
(801) 292-9202
(801) 966-9839
Mailing address
513 W 2600 S STE 513, BOUNTIFUL, UT 84010-7717
(801) 292-9202
(801) 966-9839
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
781028940501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529741769004
—
UT
Enumeration date
06/20/2007
Last updated
06/30/2008
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