Organization
ELITE ANKLE & FOOT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYLER JOLLEY (OWNER)
(435) 462-3668
Entity
Organization
Contact information
Practice address
1075 S HIGHWAY 89, MT PLEASANT, UT 84647-2305
(435) 462-3668
(844) 626-2455
Mailing address
PO BOX 398, MT PLEASANT, UT 84647-0398
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
06/16/2015
Last updated
04/22/2024
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