Organization
VALLEY FOOT & ANKLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY A GOMEZ DPM (OWNER)
(801) 375-6677
Entity
Organization
Contact information
Practice address
777 N 500 W STE 103, PROVO, UT 84601-1552
(801) 375-6677
Mailing address
777 N 500 W STE 103, PROVO, UT 84601-1552
(801) 375-6677
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
367951-0501
UT
Other
Enumeration date
08/24/2018
Last updated
08/24/2018
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