| Bountiful Foot & Ankle Center | |
|
3540 S 4000 W Ste 480, West Valley City, UT 84120-3285 | |
| (801) 966-3556 | |
| (801) 966-9839 |
| Full Name | Bountiful Foot & Ankle Center |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 3540 S 4000 W Ste 480, West Valley City, Utah |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033314125 | NPI | - | NPPES |
| 529741769004 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 781028940501 (Utah) | Primary |
| Provider Name | Craig Alan Mcmanama |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1659430254 PECOS PAC ID: 9234218991 Enrollment ID: I20100728000180 |
| Mailing Address | Practice Location Address |
|---|---|
| Bountiful Foot & Ankle Center 3540 S 4000 W Ste 480, West Valley City, UT 84120-3285 Ph: (801) 966-3556 | Bountiful Foot & Ankle Center 3540 S 4000 W Ste 480, West Valley City, UT 84120-3285 Ph: (801) 966-3556 |
William H Burleigh, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2965 W 3500 S, West Valley City, UT 84119 Phone: 801-965-3600 Fax: 801-965-3526 | |
Craig Alan Mcmanama, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3540 S 4000 W Ste 480, West Valley City, UT 84120 Phone: 801-966-3556 Fax: 801-966-9839 |