MEDICARE: META FOOT AND ANKLE PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist

General Provider Information

NPI Number	:	1740467091
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	META FOOT AND ANKLE PC

Provider Business Mailing Address
First Line	:	1811 W ROYAL HUNTE DR
Second Line	:	SUITE 2
City	:	CEDAR CITY
State	:	UT
Zip	:	84720-8273
Country	:	US
Telephone Number	:	435-586-2225
Fax Number	:	435-867-1909

Provider Business Practice Location Address
First Line	:	1811 W ROYAL HUNTE DR
Second Line	:	SUITE 2
City	:	CEDAR CITY
State	:	UT
Zip	:	84720-8273
Country	:	US
Telephone Number	:	435-586-2225
Fax Number	:	435-867-1909

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. KEITH R REBER
Credential	:	DPM
Telephone Number	:	435-628-2671

Provider Enumeration Date	:	01/29/2008
Last Update Date	:	04/02/2008

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