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Organization

STODDARD FOOT & ANKLE

Active
Other names
Summit Foot & Ankle, Sundance Foot & Ankle, Stoddard Foot & Ankle PLLC
Organization subpart
No

Provider details

NPI number
Authorized official
MATTHEW VERNON STODDARD (DPM/OWNER)
(208) 697-0786
Entity
Organization

Contact information

Practice address
743 N MAIN ST, SPANISH FORK, UT 84660-1146
(385) 225-0961
(385) 448-5058
Mailing address
280 S MAIN ST, BOUNTIFUL, UT 84010-6236
(801) 505-0821

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10805840-0501
UT
Enumeration date
08/15/2022
Last updated
11/06/2024
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