Provider Demographics
NPI:1528409513
Name:TRANTER, DEVIN (DPM)
Entity Type:Individual
Prefix:DR
First Name:DEVIN
Middle Name:
Last Name:TRANTER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3433 W HAVEN CV
Mailing Address - Street 2:
Mailing Address - City:LEHI
Mailing Address - State:UT
Mailing Address - Zip Code:84043-4618
Mailing Address - Country:US
Mailing Address - Phone:801-897-1957
Mailing Address - Fax:
Practice Address - Street 1:3943 E PONY EXPRESS PKWY
Practice Address - Street 2:110
Practice Address - City:EAGLE MOUNTAIN
Practice Address - State:UT
Practice Address - Zip Code:84005-5541
Practice Address - Country:US
Practice Address - Phone:801-789-4488
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-08
Last Update Date:2017-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT9751190-0501213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery