IndividualActive
James Ross, DPM, PT
NPI 1275688764 · Podiatrist · Provo, UT
Provider details
- NPI number
- 1275688764
- Entity type
- Individual
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM, PT
- Sex
- Male
- Sole proprietor
- No
- License
- 110261-0501 (UT)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
1015 Canyon Meadow Dr
# 5
Provo, UT 84606-3623
Phone: (801) 356-1733
Approximate (ZIP-level) locationGet directions
Mailing address
1015 Canyon Meadow Dr
Provo, UT 84606-3623
Registry dates
- Enumerated
- 2007-01-24
- Last updated
- 2017-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.