Organization
MOUNTAIN WEST FOOT & ANKLE INSTITUTE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDT RYAN GIBSON DPM (PRESIDENT/OWNER)
(801) 756-0765
Entity
Organization
Contact information
Practice address
358 N 1100 E STE 1, AMERICAN FORK, UT 84003-3250
(801) 756-0765
(801) 756-1405
Mailing address
358 N 1100 E STE 1, AMERICAN FORK, UT 84003-3250
(801) 756-0765
(801) 756-1405
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
5093909-0501
UT
Other
Enumeration date
12/07/2007
Last updated
12/08/2021
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