DR. DOUGLAS CLARK FLEGAL DPM
NPI 1063680668
Podiatrist - Foot & Ankle Surgery in Salt Lake City, UT

Active since February 15, 2008
740 E 3900 S, SUITE 108, SALT LAKE CITY, UT 84107(801) 266-3113(801) 266-5633 Get Directions Write a Review

NPPES record last updated: August 28, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Douglas Clark Flegal Dpm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DOUGLAS CLARK FLEGAL DPM (NPI 1063680668) is an individual foot & ankle surgery provider in Salt Lake City, Utah, licensed in Utah (102232-0501) and active in the NPI registry since February 2008.

NPPES Registry Identity

NPI1063680668
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. DOUGLAS CLARK FLEGALCredential: DPM
Location Address740 E 3900 S, SUITE 108Salt Lake City, UT 84107-2181
Mailing Address740 E 3900 S, Suite 108Salt Lake City, UT 84107-2181 · (801) 266-3113 · Fax (801) 266-5633
Fax(801) 266-5633
Sole ProprietorYes
Enumeration DateFebruary 15, 2008
Last NPPES UpdateAugust 28, 2012
NPI 1063680668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in UT · 102232-0501
Also ListedPodiatrist · Primary Podiatric MedicineTaxonomy 213EP1101X · License 102232-0501 (UT)
Also ListedPodiatrist · RadiologyTaxonomy 213ER0200X · License 102232-0501 (UT)
740 E 3900 S, Salt Lake City, UT 84107

Other Identifiers 1

Medicare UPINT77918UT

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
740 E 3900 S
SALT LAKE CITY, UT 84107
Social Worker (Clinical)
740 E 3900 S, # 100
SALT LAKE CITY, UT 84107
Podiatrist (Foot & Ankle Surgery)
740 E 3900 S, SUITE 108
SALT LAKE CITY, UT 84107
Social Worker (Clinical)
740 E 3900 S, SUITE 200
SALT LAKE CITY, UT 84107

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063680668, enumerated as an "individual" on February 15, 2008.

The provider is located at 740 E 3900 S SUITE 108 SALT LAKE CITY, UT 84107 and the phone number is (801) 266-3113.

Podiatrist with taxonomy code 213ES0103X and a focus in Foot & Ankle Surgery.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.