Individual
JOHN WALLACE THOMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8TH AVENUE AND C STREET, SALT LAKE CITY, UT 84143-0001
(801) 408-1146
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 408-1146
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
158342-1205
UT
Other
Enumeration date
06/13/2006
Last updated
09/28/2007
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