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Organization

UTAH PODIATRY GROUP PC

Active
Parent organization
UTAH PODIATRY GROUP PC
Other names
Advanced Foot And Ankle Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
UTAH PODIATRY GROUP PC
Authorized official
SCOTT A CLARK DPM (DPM)
(801) 505-5277
Entity
Organization

Contact information

Practice address
962 CHAMBERS ST, SOUTH OGDEN, UT 84403-5087
(801) 373-2499
(801) 373-5200
Mailing address
PO BOX 30015 DEPT 380, SALT LAKE CITY, UT 84130
(801) 505-5277

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
332B00000X
Durable Medical Equipment & Medical Supplies

Other

Enumeration date
12/02/2021
Last updated
04/19/2025
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