Individual
BRUCE E THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5957 FASHION POINT DR, SUITE 101, OGDEN, UT 84403-5180
(801) 475-5683
(801) 475-9499
Mailing address
1055 N 500 W, PROVO, UT 84604-3305
(801) 375-8858
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5181983-1205
UT
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
5181983-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200302299
TAX ID
UT
Enumeration date
09/27/2006
Last updated
01/04/2023
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