Organization
TIMPANOGOS FOOT & ANKLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN DOUGLAS TAYLOR D.P.M. (MEMBER)
(435) 671-4726
Entity
Organization
Contact information
Practice address
150 N MAIN ST, SUITE 202, HEBER CITY, UT 84032-1648
(435) 671-4726
(435) 654-4026
Mailing address
150 N MAIN ST, SUITE 202, HEBER CITY, UT 84032-1648
(435) 671-4726
(435) 654-4026
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
6672822-0501
UT
Other
Enumeration date
09/17/2008
Last updated
06/24/2009
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