Organization
ELITE ANKLE AND FOOT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYLER JOLLEY (DPM)
(435) 462-3668
Entity
Organization
Contact information
Practice address
39 E CENTER STREET, GUNNISON, UT 84634
(844) 626-2455
(844) 626-2455
Mailing address
39 E CENTER STREET, GUNNISON, UT 84634
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
9141980-0501
UT
213ES0103X
Foot & Ankle Surgery Podiatrist
9141980-0501
UT
Other
Enumeration date
04/10/2017
Last updated
04/18/2024
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