OrganizationActive
Elite Ankle and Foot PLLC
NPI 1053844753 · Podiatrist · Gunnison, UT
Provider details
- NPI number
- 1053844753
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Tyler Jolley, DPM(435) 462-3668
- License
- 9141980-0501 (UT)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Podiatric Medicine & Surgery Service Providers
Practice location
39 E Center Street
Gunnison, UT 84634
Phone: (844) 626-2455
Fax: (844) 626-2455
Approximate (ZIP-level) locationGet directions
Mailing address
39 E Center Street
Gunnison, UT 84634
Registry dates
- Enumerated
- 2017-04-10
- Last updated
- 2024-04-18
- Certified
- 2024-04-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.