Individual
ARDEN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
920 N 0000 E/W, 920 N 0000 E/W, MANTI, UT 84642-0287
(801) 420-4697
Mailing address
PO BOX 287, 920 N 0000 E/W, MANTI, UT 84642-0287
(801) 420-4697
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/24/2014
Last updated
07/24/2014
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