| NPI | 1205569100 |
|---|---|
| Former Legal Business Name | ADVANCED FOOT AND ANKLE CENTER |
| Entity Type | Organization |
| Authorized Contact | SCOTT A CLARK Dpm 801-505-5277 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 213E00000X Podiatrist |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2022-07-07 |
| Last Update Date | 2025-10-27 |