| Canyon Foot And Ankle Llc | |
|
478 S Main St, Spanish Fork, UT 84660-2410 | |
| (801) 609-4743 | |
| (801) 804-5545 |
| Full Name | Canyon Foot And Ankle Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 478 S Main St, Spanish Fork, Utah |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659748952 | NPI | - | NPPES |
| 1659748952 | Other | UT | GROUP NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 93570600501 (Utah) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 93570600501 (Utah) | Secondary |
| Provider Name | Levi J Berry |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1689938748 PECOS PAC ID: 8022326180 Enrollment ID: I20151009001031 |
| Mailing Address | Practice Location Address |
|---|---|
| Canyon Foot And Ankle Llc 83 E 1200 N, Mapleton, UT 84664-3710 Ph: (801) 609-4743 | Canyon Foot And Ankle Llc 478 S Main St, Spanish Fork, UT 84660-2410 Ph: (801) 609-4743 |
Stoddard Foot & Ankle Pllc Podiatrist Medicare: Medicare Enrolled Practice Location: 743 N Main St, Spanish Fork, UT 84660 Phone: 385-225-0961 Fax: 385-448-5058 | |
Matthew Vernon Stoddard, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 743 N Main St, Spanish Fork, UT 84660 Phone: 385-225-0961 Fax: 385-448-5058 | |
Nebo Foot & Ankle Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 65 W 200 N, Suite 1, Spanish Fork, UT 84660 Phone: 801-794-3856 Fax: 801-794-9882 | |
Levi J Berry, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 478 S Main St, Spanish Fork, UT 84660 Phone: 801-609-4743 | |
Michael L Nelson, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 65 W 200 N, Suite1, Spanish Fork, UT 84660 Phone: 801-794-3856 Fax: 801-794-9882 |