Organization
FOOT AND ANKLE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS R. AUSTAD D.P.M (OWNER)
(801) 731-3833
Entity
Organization
Contact information
Practice address
1885 W 4400 S, ROY, UT 84067-3065
(801) 731-3833
(801) 731-4561
Mailing address
1885 W 4400 S, ROY, UT 84067-3065
(801) 731-3833
(801) 731-4561
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
102623-0501
UT
Other
Enumeration date
04/24/2009
Last updated
04/24/2009
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