Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Utah Podiatry Group LLC

Organization Podiatrist · NPI 1093081101

Utah Podiatry Group LLC is a Podiatrist in Salt Lake City, Utah. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

24 S 1100 E Ste 210
Salt Lake City, UT 84102-1580
Phone: (801) 505-5277
Fax: (801) 505-5280
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X
Podiatrist Taxonomy 213E00000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1093081101
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationUtah Podiatry Group LLC
Authorized official Scott Clark — Podiatrist · (801) 505-5277
Other names Advanced Foot And Ankle; Advanced Foot And Ankle
NPI enumeratedMarch 23, 2012
Last updated in NPPESOctober 27, 2025
Certification dateOctober 27, 2025
Mailing addressPo Box 849795, Los Angeles, CA 90084-9795

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