Individual
ROBERT A CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
24 S 1100 E STE 210, SALT LAKE CITY, UT 84102-1580
(801) 505-5277
(801) 505-5280
Mailing address
PO BOX 30015, DEPT 380, SALT LAKE CITY, UT 84130-0015
(801) 505-5277
(801) 505-5280
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
8926321-0501
UT
Other
Enumeration date
09/12/2011
Last updated
01/02/2024
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