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Individual
H CLARK THOMAS
Active
Individual
H CLARK THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
259933-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002089555
—
NV
01
—
107007176102
IHC
UT
05
—
118907700
—
WY
01
—
128603
DESERET MUTUAL
UT
05
—
140509001
—
AZ
01
—
1502954
UMWA
UT
01
—
2090168
UNITED HEALTHCARE
UT
01
—
50477
HEALTHY U
UT
01
—
71446
PEHP
UT
05
—
806731100
—
ID
01
—
870545614CLT
EDUCATORS MUTUAL
UT
01
—
PRA02639
MOLINA
UT
01
—
QM0000075886
ALTIUS
UT
Enumeration date
10/16/2006
Last updated
08/28/2024
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