Individual
ISAAC RAYMOND THOMASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-6795
(801) 581-7476
Mailing address
PO BOX 413033, SALT LAKE CITY, UT 84141-3033
(801) 213-3900
(801) 581-7476
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
161210-1205
UT
207RG0100X
Gastroenterology Physician
161210-1205
UT
207RT0003X
Transplant Hepatology Physician
Primary
161210-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100007589
RR MEDICARE PIN
UT
Enumeration date
08/12/2006
Last updated
12/20/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us