Individual
DAN EUGENE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1067 N 500 W, PROVO, UT 84604-3305
(801) 375-8049
(801) 374-9195
Mailing address
1823 N. 1950 W., PROVO, UT 84604
(801) 375-8049
(801) 374-9195
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
1836191205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
562302331007
—
UT
Enumeration date
04/11/2007
Last updated
12/04/2014
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