| Wasatch Podiatry Pllc | |
|
1679 Shadow Valley Dr, Ogden, UT 84403-4626 | |
| (801) 430-8406 | |
| (801) 393-6092 |
| Full Name | Wasatch Podiatry Pllc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 1679 Shadow Valley Dr, Ogden, Utah |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114224805 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 7259622-0501 (Utah) | Primary |
| 261QP1100X | Clinic/center - Podiatric | (* (Not Available)) | Secondary |
| Provider Name | Susan M Agres |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1053560789 PECOS PAC ID: 1759429202 Enrollment ID: I20091104000003 |
| Mailing Address | Practice Location Address |
|---|---|
| Wasatch Podiatry Pllc Po Box 150383, Ogden, UT 84415-0383 Ph: (801) 430-8406 | Wasatch Podiatry Pllc 1679 Shadow Valley Dr, Ogden, UT 84403-4626 Ph: (801) 430-8406 |
Mckay Dee Foot And Ankle Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 4403 Harrison Blvd, #2835, Ogden, UT 84403 Phone: 801-387-7945 | |
Kevin G Walker, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 4700 Harrison Blvd, Ogden, UT 84403 Phone: 801-475-3225 Fax: 801-475-3227 | |
Dr. Susan Jespersen Agres, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 5275 Adams Ave Pkwy, Suite A, Ogden, UT 84405 Phone: 801-430-8406 | |
Dr. Chantel B Murrah, DPM PHD Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3590 Harrison Blvd, # G1, Ogden, UT 84403 Phone: 801-627-2122 Fax: 801-627-2125 | |
Lorell B Fawson, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3590 Harrison Blvd, G1, Ogden, UT 84403 Phone: 801-627-2122 Fax: 801-627-2125 | |
Dr. David Matthew Graff, D.P.M Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 4401 Harrison Blvd Ste 1885, Ogden, UT 84403 Phone: 801-387-4870 Fax: 801-387-4875 |