Organization
PARK CITY PODIATRY LLC
Active
Other names
Salt Lake City Podiatry
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERIC ZACHARY ODDONE DPM (OWNER)
(801) 269-9939
Entity
Organization
Contact information
Practice address
1220 E 3900 S STE 4D, SALT LAKE CITY, UT 84124-1383
(801) 269-9939
(801) 269-9949
Mailing address
PO BOX 404, RIVERTON, UT 84065-0404
(801) 619-2168
(877) 428-7520
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245297688
—
UT
05
—
1881326981
—
UT
Enumeration date
04/26/2006
Last updated
03/12/2026
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