Individual
THOMAS B. SKIDMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1250 E 3900 S STE 10, SALT LAKE CITY, UT 84124-1354
(801) 456-8401
Mailing address
5150 S 375 E STE 3, WASHINGTON TERRACE, UT 84405-4503
(801) 475-6532
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
8281461-1205
UT
Other
Enumeration date
11/11/2007
Last updated
05/07/2020
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