Individual
MICHAEL JAMES THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3380 S 1000 W, SOUTH SALT LAKE, UT 84119-4106
(661) 515-0515
Mailing address
3380 S 1000 W, SOUTH SALT LAKE, UT 84119-4106
(661) 515-0515
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
UT
Other
Enumeration date
01/29/2025
Last updated
01/29/2025
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