Russell Lowry
Podiatrist in Salt Lake City, UT
Registered providerLicense # listed (UT)Medicare-enrolledAccepts Medicare assignment
Public-record details
- Address
- 6405 S 3000 E Ste 201, Salt Lake City, UT 84121
- Phone
- (801) 266-3113
- Listed under
- Individual podiatrists
- NPI
- 1497238992
- NPI status
- Active in the NPPES registry
- Provider type
- Individual provider
- Registered specialty (self-reported taxonomy)
- Podiatrist (213E00000X)
- License number on NPI record
- 13683037-0501 (UT)
- NPI first issued
- Sep 11, 2018
- Years since NPI first issued
- 8 years (since 2018)
- License state on NPI record
- UT
- NPI record last updated
- Feb 5, 2024
- Medicare enrollment (CMS)
- Enrolled: listed in CMS Doctors & Clinicians
- Medicare assignment (CMS)
- Accepts the Medicare-approved amount as payment in full
- Professional school graduation (CMS)
- 2017 (9 years ago)
- Professional school (CMS)
- Western Un of Hlth Sciences, Col of Podiatric Med
- Medicare group practice (CMS)
- Sierra Podiatry Corporation (4 clinicians)
- Practice locations on file with Medicare (CMS)
- 1
- Other practice locations (NPPES)
- 2: Salt Lake City, UT; Tucson, AZ
- Other podiatry listings at this street address
- 1
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