Individual
DR. THOMAS R AUSTAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1885 WEST 4400 SOUTH, ROY, UT 84067
(801) 731-3833
(801) 731-4561
Mailing address
1885 WEST 4400 SOUTH, ROY, UT 84067
(801) 731-3833
(801) 731-4561
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1026230501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
756480226
RR MEDICARE
—
01
—
870341157
TAX ID
—
Enumeration date
09/20/2006
Last updated
02/08/2008
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