Individual
DR. THOMAS J. ALLRED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6822 EAST 1000 SOUTH, FORT DUCHESNE, UT 84026
(435) 725-6874
Mailing address
6822 EAST 1000 SOUTH, FORT DUCHESNE, UT 84026
(435) 725-6874
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
051616
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
700000000009
—
UT
05
—
H1232
—
NM
Enumeration date
08/30/2006
Last updated
04/05/2013
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