Provider Demographics
NPI:1982740361
Name:ELIZABETH E AUGER DPM PC
Entity type:Organization
Organization Name:ELIZABETH E AUGER DPM PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:E
Authorized Official - Last Name:AUGER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM, PC
Authorized Official - Phone:801-944-5050
Mailing Address - Street 1:PO BOX 404
Mailing Address - Street 2:
Mailing Address - City:RIVERTON
Mailing Address - State:UT
Mailing Address - Zip Code:84065-0404
Mailing Address - Country:US
Mailing Address - Phone:801-944-5050
Mailing Address - Fax:
Practice Address - Street 1:9355 S 1300 E
Practice Address - Street 2:
Practice Address - City:SANDY
Practice Address - State:UT
Practice Address - Zip Code:84094-3135
Practice Address - Country:US
Practice Address - Phone:801-619-2170
Practice Address - Fax:877-428-7520
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT344200-0501213E00000X
261QM1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-SpecialtyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT=========OtherTAX ID