| Tooele Foot & Ankle Clinic, Inc. | |
|
2356 N 400 E, Ste 104, Tooele, UT 84074-3409 | |
| (435) 882-0711 | |
| (435) 882-1778 |
| Full Name | Tooele Foot & Ankle Clinic, Inc. |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 2356 N 400 E, Tooele, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255509154 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 103966-0501 (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tooele Foot & Ankle Clinic, Inc. 2356 N 400 E, Ste 104, Tooele, UT 84074-3409 Ph: (435) 882-0711 | Tooele Foot & Ankle Clinic, Inc. 2356 N 400 E, Ste 104, Tooele, UT 84074-3409 Ph: (435) 882-0711 |
Dr. David George Mckenzie Ii, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2376 N 400 E Ste 204, Tooele, UT 84074 Phone: 801-582-1565 | |
Dr. Derek Scott Anselmo, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2376 N 400 E Ste 204, Tooele, UT 84074 Phone: 610-983-1000 | |
Kim A. Halladay, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2356 N 400 E, Ste 104, Tooele, UT 84074 Phone: 435-882-0711 Fax: 435-882-1778 |