Provider Demographics
NPI:1861594624
Name:CALL, DONALD R JR (DPM)
Entity type:Individual
Prefix:
First Name:DONALD
Middle Name:R
Last Name:CALL
Suffix:JR
Gender:M
Credentials:DPM
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Mailing Address - Street 1:1325 W SOUTH JORDAN PKWY
Mailing Address - Street 2:SUITE 105
Mailing Address - City:SOUTH JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84095-9060
Mailing Address - Country:US
Mailing Address - Phone:801-254-3123
Mailing Address - Fax:801-254-3969
Practice Address - Street 1:1325 W SOUTH JORDAN PKWY
Practice Address - Street 2:SUITE 105
Practice Address - City:SOUTH JORDAN
Practice Address - State:UT
Practice Address - Zip Code:84095-9060
Practice Address - Country:US
Practice Address - Phone:801-254-3123
Practice Address - Fax:801-254-3969
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-02
Last Update Date:2007-11-09
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Provider Licenses
StateLicense IDTaxonomies
UT5088169-0501213E00000X, 213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
UTU92945Medicare UPIN