Individual
THOMAS REES CHECKETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
30 N MARIO CAPECCHI DR RM 3N100, SALT LAKE CITY, UT 84112-2353
(801) 581-2121
Mailing address
30 N MARIO CAPECCHI DR RM 3N100, SALT LAKE CITY, UT 84112-2353
(801) 581-2121
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
9324
NE
207RB0002X
Obesity Medicine (Internal Medicine) Physician
Primary
14209307-1204
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9324
NEBRASKA
NE
Enumeration date
07/22/2022
Last updated
03/27/2025
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