Healthcare Provider Details

I. General information

NPI: 1770464265
Provider Name (Legal Business Name): CAMERON FOOT & ANKLE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2025
Last Update Date: 09/10/2025
Certification Date: 09/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1841 E RIVERSIDE DR STE 102
ST GEORGE UT
84790-7063
US

IV. Provider business mailing address

1301 BERTHA HOWE AVE STE 6
MESQUITE NV
89027-7503
US

V. Phone/Fax

Practice location:
  • Phone: 435-714-6996
  • Fax: 435-215-7671
Mailing address:
  • Phone: 702-346-5227
  • Fax: 702-346-3147

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number StateNULL

VIII. Authorized Official

Name: LANDON T CAMERON
Title or Position: OWNER, DPM
Credential: DPM
Phone: 801-673-8392