Individual
TRENTEN DON THORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3460 PIONEER PKWY, WEST VALLEY CITY, UT 84120
(801) 964-3100
Mailing address
333 N 300 W, SALT LAKE CITY, UT 84103-1215
(385) 202-6689
(801) 463-7341
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
6077654-1205
UT
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
6077654-1205
UT
Other
Enumeration date
10/24/2006
Last updated
06/04/2018
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