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Organization

CORAL DESERT FOOT & ANKLE PC

Active
Parent organization
CORAL DESERT FOOT & ANKLE PC
Organization subpart
Yes

Provider details

NPI number
Legal business name
CORAL DESERT FOOT & ANKLE PC
Authorized official
JEFFREY LEE STEWART (OWNER, DPM)
(435) 634-9225
Entity
Organization

Contact information

Practice address
355 N MAIN ST, KANAB, UT 84741-3260
(435) 634-9225
(435) 634-8426
Mailing address
1062 E RIVERSIDE DR STE 102, ST GEORGE, UT 84790-4454
(435) 634-9225

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary

Other

Enumeration date
11/22/2017
Last updated
09/27/2024
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