Summit Foot and Ankle Specialists

NPI #1366819112 in Provo, Utah

Provider Information

NPI Number: 1366819112
Entity Type: Organization
Organization Name: Summit Foot and Ankle Specialists
Primary Specialty: Clinic/Center - Podiatric
Enumeration Date: Aug 27, 2015
Last Updated: Aug 27, 2015

Practice Location

Address: 1355 N UNIVERSITY AVE
Address 2: SUITE 125
City: Provo
State: Utah
ZIP Code: 84604-2721
Phone: (801) 784-1111

Authorized Official

Name: RYAN ELLSWORTH
Title: OWNER
Phone: (801) 784-1111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Podiatric — Podiatric	261QP1100X	Primary

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