Individual
THOMAS W PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
500 E 1400 N, LOGAN, UT 84341-2465
(435) 716-5478
Mailing address
500 E 1400 N, LOGAN, UT 84341-2465
(435) 716-5478
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1051561206
UT
Other
Enumeration date
09/27/2006
Last updated
07/17/2008
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