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Individual

DR. THOMAS VANCE EDDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
5801 S FASHION BLVD STE 120, MURRAY, UT 84107-8115
(801) 261-1391
Mailing address
5801 S FASHION BLVD, STE 120, MURRAY, UT 84107-8115
(816) 525-2405

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
2014040487
MO

Other

Enumeration date
06/27/2011
Last updated
12/02/2020
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