Individual
DR. TOM CHRISTIAN POYNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9493 S 700 E, SANDY, UT 84070-3459
(801) 576-0176
(801) 523-2657
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 576-0176
(801) 442-0643
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22971
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200030020A
—
OK
Enumeration date
03/23/2006
Last updated
05/09/2014
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