Individual
DR. LAM WILLIAM THANADABOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 N 500 E, LOGAN, UT 84341-2455
(435) 752-0422
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(435) 752-0422
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
6990986-8017
UT
208M00000X
Hospitalist Physician
Primary
6990986-1205
UT
Other
Enumeration date
04/21/2006
Last updated
05/26/2017
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