Organization
FINAL KICK ANKLE AND FOOT CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SELINA SEKULIC DPM (PRESIDENT)
(804) 687-5191
Entity
Organization
Contact information
Practice address
348 E 4500 S, SUITE 370, SALT LAKE CITY, UT 84107-3906
(804) 687-5191
Mailing address
348 E 4500 S, SUITE 370, SALT LAKE CITY, UT 84107-3906
(804) 687-5191
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1891082830
UT
Other
Enumeration date
02/14/2017
Last updated
02/14/2017
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