IndividualActive
Jordan Radandt
NPI 1053801324 · Podiatrist · Salt Lake City, UT
Provider details
- NPI number
- 1053801324
- Entity type
- Individual
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Student, Health Care
Practice location
3130 S Highland Dr # B4
Salt Lake City, UT 84106-3095
Phone: (801) 253-6886
Fax: (801) 253-6888
Approximate (ZIP-level) locationGet directions
Mailing address
4019 W 12600 S Ste 120
Riverton, UT 84096-7405
Additional practice locations (1)
- 777 N 500 W Ste 103Provo, UT 84601-1552Phone: (801) 253-6886Fax: (801) 253-6888
Registry dates
- Enumerated
- 2018-05-13
- Last updated
- 2021-09-14
- Certified
- 2021-09-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.