| Park City Podiatry Llc | |
|
1220 E 3900 S Ste 4d, Salt Lake City, UT 84124-1383 | |
| (801) 269-9939 | |
| (801) 269-9949 |
| Full Name | Park City Podiatry Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 1220 E 3900 S Ste 4d, Salt Lake 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 |
|---|---|---|---|
| 1437116266 | NPI | - | NPPES |
| 1245297688 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | (* (Not Available)) | Primary |
| Provider Name | Mark E Moritz |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1245297688 PECOS PAC ID: 0941108856 Enrollment ID: I20031229000983 |
| Provider Name | Frederic Zachary Oddone |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1881326981 PECOS PAC ID: 7719401710 Enrollment ID: I20250411001699 |
| Mailing Address | Practice Location Address |
|---|---|
| Park City Podiatry Llc Po Box 404, Riverton, UT 84065-0404 Ph: (801) 619-2168 | Park City Podiatry Llc 1220 E 3900 S Ste 4d, Salt Lake City, UT 84124-1383 Ph: (801) 269-9939 |
Podiatry Center Inc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 144 S 700 E, Salt Lake City, UT 84102 Phone: 801-532-1822 | |
Callie Lorraine Morlock, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 24 S 1100 E Ste 210, Salt Lake City, UT 84102 Phone: 801-505-5277 | |
Randy D. Rhodes, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 389 S 900 E, Salt Lake City, UT 84102 Phone: 385-282-2000 Fax: 385-282-2001 | |
Dr. Terry Paul Smith, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 82 S 1100 E, Suite 300, Salt Lake City, UT 84102 Phone: 801-505-5277 Fax: 801-505-5280 | |
Robert A Church, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 24 S 1100 E Ste 210, Salt Lake City, UT 84102 Phone: 801-505-5277 Fax: 801-505-5280 | |
Benjamin Arthur Thomas, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 6360 S 3000 E, Ste 100, Salt Lake City, UT 84121 Phone: 801-365-1032 Fax: 801-365-1036 | |
Dr. Michael Karl Lowe, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 144 S 700 E, Salt Lake City, UT 84102 Phone: 801-532-1822 Fax: 801-532-7544 |