Organization
FAMILY FOOT & ANKLE
Active
Organization
FAMILY FOOT & ANKLE
Active
Parent organization
FAMILY FOOT & ANKLE
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAMILY FOOT & ANKLE
Authorized official
JEFFREY LYNN CARLSON DPM (PODIATRIST)
(515) 205-5635
Entity
Organization
Contact information
Practice address
491 N MAIN ST, TOOELE, UT 84074-1654
(515) 205-5635
Mailing address
1332 E 630 S, TOOELE, UT 84074-4436
(515) 205-5635
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
7054576-0501
UT
Other
Enumeration date
06/18/2017
Last updated
06/18/2017
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