Mountain West Podiatry LLC

NPI #1235855669 in Centerville, Utah

Provider Information

NPI Number: 1235855669
Entity Type: Organization
Organization Name: Mountain West Podiatry LLC
Primary Specialty: Podiatrist
Enumeration Date: Oct 17, 2022
Last Updated: Jan 15, 2024

Practice Location

Address: 380 S MAIN ST
City: Centerville
State: Utah
ZIP Code: 84014-2266
Phone: (801) 447-1615

Authorized Official

Name: NATHAN PAYNE, DPM
Title: OWNER
Phone: (801) 447-1615

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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