Organization
WASATCH FOOT AND ANKLE SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON FREDERIC JONES (OWNER)
(801) 505-0820
Entity
Organization
Contact information
Practice address
440 MEDICAL DR, SUITE #2, BOUNTIFUL, UT 84010-4950
(801) 298-1160
Mailing address
440 MEDICAL DR, SUITE #2, BOUNTIFUL, UT 84010-4950
(801) 298-1160
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
89263210501
UT
Other
Enumeration date
06/20/2014
Last updated
10/23/2014
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