Tooele Foot & Ankle Clinic, Inc. | |
2356 N 400 E, Ste 104, Tooele, UT 84074-3409 | |
(435) 882-0711 | |
(435) 882-1778 |
Full Name | Tooele Foot & Ankle Clinic, Inc. |
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Type | Facility |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 2356 N 400 E, Tooele, Utah |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1255509154 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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213ES0103X | Podiatrist - Foot & Ankle Surgery | 103966-0501 (* (Not Available)) | Primary |
Provider Name | Kim A Halladay |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1902809528 PECOS PAC ID: 5193730786 Enrollment ID: I20060220000073 |
Provider Name | David George Mckenzie |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1245541937 PECOS PAC ID: 5092940593 Enrollment ID: I20131126000491 |
Mailing Address | Practice Location Address |
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Tooele Foot & Ankle Clinic, Inc. 2356 N 400 E, Ste 104, Tooele, UT 84074-3409 Ph: (435) 882-0711 | Tooele Foot & Ankle Clinic, Inc. 2356 N 400 E, Ste 104, Tooele, UT 84074-3409 Ph: (435) 882-0711 |
Dr. David George Mckenzie Ii, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2376 N 400 E Ste 204, Tooele, UT 84074 Phone: 801-582-1565 | |
Dr. Derek Scott Anselmo, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2376 N 400 E Ste 204, Tooele, UT 84074 Phone: 610-983-1000 | |
Kim A. Halladay, D.P.M. Podiatrist Medicare: Medicare Enrolled Practice Location: 2356 N 400 E, Ste 104, Tooele, UT 84074 Phone: 435-882-0711 Fax: 435-882-1778 |