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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. DEREK SCOTT ANSELMO, DPM

Active

DR. DEREK SCOTT ANSELMO, DPM is a Foot & Ankle Surgery Podiatrist healthcare provider located in TOOELE, Utah. NPI 1508386665 is currently active in the NPPES registry. Verify at CMS.

Foot & Ankle Surgery Podiatrist · TOOELE, UT

Registration Details

NPI Number
1508386665
Provider Type
Individual
Gender
Male
NPI Issued
Jun 20, 2017 (9.1107679601218 yrs)
Last Updated
Feb 16, 2023
License
SC006858 (PA)

Practice Information

Address
2376 N 400 E STE 204
TOOELE, UT, 840743413
Browse UT providers · Browse ZIP 84074
Phone
6109831000
Primary Specialty
Foot & Ankle Surgery Podiatrist
213ES0103X

Other Foot & Ankle Surgery Podiatrist Providers in TOOELE, UT

Name Credential NPI
DR. DAVID GEORGE MCKENZIE II D.P.M. 1245541937
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.