| William H Burleigh, DPM | |
|
2965 W 3500 S, West Valley City, UT 84119-3602 | |
| (801) 965-3600 | |
| (801) 965-3526 |
| Full Name | William H Burleigh |
|---|---|
| Gender | Male |
| Speciality | Podiatrist |
| Location | 2965 W 3500 S, West Valley City, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023040276 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 1061690501 (Utah) | Primary |
| Provider Name | Granger Medical Clinic Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1184657041 PECOS PAC ID: 3476465691 Enrollment ID: O20031105000159 |
| Provider Name | Granger Medical Specialists Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1376159368 PECOS PAC ID: 4587074356 Enrollment ID: O20201105002207 |
| Mailing Address | Practice Location Address |
|---|---|
| William H Burleigh, DPM 2965 W 3500 S, West Valley City, UT 84119-3602 Ph: (801) 965-3600 | William H Burleigh, DPM 2965 W 3500 S, West Valley City, UT 84119-3602 Ph: (801) 965-3600 |
West Valley Foot & Ankle Center Podiatrist Medicare: Medicare Enrolled Practice Location: 3540 S 4000 W Ste 480, West Valley City, UT 84120 Phone: 801-966-3556 Fax: 801-966-9839 | |
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 |