Healthcare Provider Details
I. General information
NPI: 1407290018
Provider Name (Legal Business Name): ROGERS FOOT & ANKLE INSTITUTE INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/25/2013
Last Update Date: 02/23/2023
Certification Date: 02/23/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1248 E 90 N SUITE 101
AMERICAN FORK UT
84003-2956
US
IV. Provider business mailing address
1248 E 90 N SUITE 101
AMERICAN FORK UT
84003-2956
US
V. Phone/Fax
- Phone: 801-756-4200
- Fax: 801-756-8252
- Phone: 801-756-4200
- Fax: 801-756-8252
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 213ES0103X |
| Taxonomy | Foot & Ankle Surgery Podiatrist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SCOTT
F
ROGERS
Title or Position: PARTNER
Credential: D.P.M.
Phone: 801-756-4200