| NPI | 1821514191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCIS JOSEPH CLARK Owner 801-255-8633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 213E00000X Podiatrist |
| 213ES0000X Podiatrist, Sports Medicine | |
| Enumeration Date | 2017-08-18 |
| Last Update Date | 2023-05-30 |