Individual
MICHAEL CORNEL THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
3944 S 400 E, MURRAY, UT 84107-1600
(801) 261-1442
(801) 261-9560
Mailing address
1034 N 500 W, PROVO, UT 84604-3380
(801) 357-7380
(801) 357-7746
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
56467954405
UT
Other
Enumeration date
06/15/2009
Last updated
01/18/2013
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