| Utah Podiatry Group Llc | |
|
3435 E Pony Express Pkwy Ste 140, Eagle Mountain, UT 84005-5548 | |
| (801) 789-2444 | |
| Not Available |
| Full Name | Utah Podiatry Group Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 3435 E Pony Express Pkwy Ste 140, Eagle Mountain, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962331520 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Utah Podiatry Group Llc 3435 E Pony Express Pkwy Ste 140, Eagle Mountain, UT 84005-5548 Ph: (801) 789-2444 | Utah Podiatry Group Llc 3435 E Pony Express Pkwy Ste 140, Eagle Mountain, UT 84005-5548 Ph: (801) 789-2444 |
Dr. Charles C Southerland, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 3435 E Pony Express Pkwy Ste 140, Eagle Mountain, UT 84005 Phone: 801-893-8811 | |
Dr. Devin Tranter, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3943 E Pony Express Pkwy, 110, Eagle Mountain, UT 84005 Phone: 801-789-4488 |