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Organization

FINAL KICK ANKLE AND FOOT CLINIC LLC

Active
Parent organization
FINAL KICK ANKLE AND FOOT CLINIC LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
FINAL KICK ANKLE AND FOOT CLINIC LLC
Authorized official
SELINA SEKULIC DPM (OWNER)
(804) 687-5191
Entity
Organization

Contact information

Practice address
476 WILLIAMS WAY STE B, MOAB, UT 84532-2186
(435) 719-5550
Mailing address
348 E 4500 S STE 370, SALT LAKE CITY, UT 84107-3906
(385) 770-7203
(385) 770-7202

Taxonomy

Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary

Other

Enumeration date
01/11/2018
Last updated
01/11/2018
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