| NPI | 1639769672 |
|---|---|
| Doing Business As | SUMMIT FOOT AND ANKLE |
| Entity Type | Organization |
| Authorized Contact | RYAN ELLSWORTH CEO 801-253-6886 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP1100X Clinic/Center Podiatric |
| Additional Taxonomies | 213E00000X Podiatrist |
| 213EP1101X Podiatrist Primary Podiatric Medicine | |
| 213ER0200X Podiatrist Radiology | |
| 213ES0000X Podiatrist Sports Medicine | |
| 213ES0131X Podiatrist Foot Surgery | |
| Enumeration Date | 2021-01-23 |
| Last Update Date | 2024-09-25 |