Salt Lake City Podiatry | |
1220 E 3900 S Ste 4d, Salt Lake City, UT 84124-1383 | |
(801) 269-9939 | |
(801) 269-9949 |
Full Name | Salt Lake City Podiatry |
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Type | Facility |
Speciality | Podiatrist |
Location | 1220 E 3900 S Ste 4d, Salt Lake City, Utah |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437116266 | NPI | - | NPPES |
1245297688 | Medicaid | UT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | (* (Not Available)) | Primary |
Provider Name | Mark E Moritz |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1245297688 PECOS PAC ID: 0941108856 Enrollment ID: I20031229000983 |
Mailing Address | Practice Location Address |
---|---|
Salt Lake City Podiatry Po Box 404, Riverton, UT 84065-0404 Ph: (801) 619-2168 | Salt Lake City Podiatry 1220 E 3900 S Ste 4d, Salt Lake City, UT 84124-1383 Ph: (801) 269-9939 |
Podiatry Center Inc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 144 S 700 E, Salt Lake City, UT 84102 Phone: 801-532-1822 | |
Callie Lorraine Morlock, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 24 S 1100 E Ste 210, Salt Lake City, UT 84102 Phone: 801-505-5277 | |
Randy D. Rhodes, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 389 S 900 E, Salt Lake City, UT 84102 Phone: 385-282-2000 Fax: 385-282-2001 | |
Dr. Terry Paul Smith, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 82 S 1100 E, Suite 300, Salt Lake City, UT 84102 Phone: 801-505-5277 Fax: 801-505-5280 | |
Robert A Church, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 24 S 1100 E Ste 210, Salt Lake City, UT 84102 Phone: 801-505-5277 Fax: 801-505-5280 | |
Benjamin Arthur Thomas, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 6360 S 3000 E, Ste 100, Salt Lake City, UT 84121 Phone: 801-365-1032 Fax: 801-365-1036 | |
Dr. Michael Karl Lowe, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 144 S 700 E, Salt Lake City, UT 84102 Phone: 801-532-1822 Fax: 801-532-7544 |