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Organization

UTAH PODIATRY GROUP LLC

Active
Parent organization
UTAH PODIATRY GROUP LLC
Other names
ADVANCED FOOT AND ANKLE
Organization subpart
Yes

Provider details

NPI number
Legal business name
UTAH PODIATRY GROUP LLC
Authorized official
SCOTT A CLARK (DPM)
(801) 505-5277
Entity
Organization

Contact information

Practice address
2159 S 700 E STE 150, SALT LAKE CITY, UT 84106
(801) 466-1333
(801) 466-6601
Mailing address
PO BOX 849795, LOS ANGELES, CA 90084-9795
(801) 451-6060
(801) 797-9154

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6152070008
DME
UT
Enumeration date
01/29/2012
Last updated
10/27/2025
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