Individual
THOMAS J. SERENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO, MA
Contact information
Practice address
30 N 1900 E RM 3C344, SALT LAKE CITY, UT 84132-0002
(801) 581-2121
Mailing address
30 N 1900 E RM 3C344, SALT LAKE CITY, UT 84132-0002
(801) 581-2121
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
5151012245
MI
2086S0129X
Vascular Surgery Physician
Primary
13289387-1204
UT
Other
Enumeration date
04/12/2018
Last updated
03/04/2023
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