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Organization

UTAH PODIATRY GROUP LLC

Active
Parent organization
UTAH PODIATRY GROUP LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
UTAH PODIATRY GROUP LLC
Authorized official
ALEXANDER REYZELMAN DPM (CMO)
(415) 292-0638
Entity
Organization

Contact information

Practice address
999 E MURRAY HOLLADAY RD STE 102, MILLCREEK, UT 84117-4961
(801) 274-9060
Mailing address
PO BOX 849795, LOS ANGELES, CA 90084-9795

Taxonomy

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

Other

Enumeration date
05/19/2026
Last updated
05/19/2026
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