Organization
UTAH PODIATRY GROUP LLC
Active
Parent organization
UTAH PODIATRY GROUP LLC
Other names
Advanced Foot And Ankle Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
UTAH PODIATRY GROUP LLC
Authorized official
SCOTT A CLARK (DPM)
(801) 505-5277
Entity
Organization
Contact information
Practice address
1840 SUN PEAK DR, PARK CITY, UT 84098-6732
(801) 505-5277
(801) 505-5280
Mailing address
PO BOX 849795, LOS ANGELES, CA 90084-9795
(801) 505-5277
(801) 505-5280
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
07/07/2022
Last updated
10/27/2025
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