Provider Demographics
NPI:1770464265
Name:CAMERON FOOT & ANKLE LLC
Entity type:Organization
Organization Name:CAMERON FOOT & ANKLE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, DPM
Authorized Official - Prefix:
Authorized Official - First Name:LANDON
Authorized Official - Middle Name:T
Authorized Official - Last Name:CAMERON
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:801-673-8392
Mailing Address - Street 1:1301 BERTHA HOWE AVE STE 6
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:NV
Mailing Address - Zip Code:89027-7503
Mailing Address - Country:US
Mailing Address - Phone:702-346-5227
Mailing Address - Fax:702-346-3147
Practice Address - Street 1:1841 E RIVERSIDE DR STE 102
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790-7063
Practice Address - Country:US
Practice Address - Phone:435-714-6996
Practice Address - Fax:435-215-7671
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CAMERON FOOT & ANKLE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-09-10
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty