Organization
SALT LAKE FOOT AND ANKLE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BIJAN J ANDRADE DPM (MANAGER)
(801) 419-6206
Entity
Organization
Contact information
Practice address
315 W REED AVE, UNIT 1, SALT LAKE CITY, UT 84103-1492
(801) 419-6206
Mailing address
315 W REED AVE, UNIT 1, SALT LAKE CITY, UT 84103-1492
(801) 419-6206
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
345724-0501
UT
Other
Enumeration date
04/02/2015
Last updated
04/02/2015
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