Individual
THOMAS M ABBOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 EAST 3900 SOUTH, SALT LAKE CITY, UT 84124
(801) 268-7177
(801) 270-3352
Mailing address
PO BOX 25837, SALT LAKE CITY, UT 84125-0837
(800) 288-8325
(419) 866-5453
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
1565961205
UT
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
1565961205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04919
—
UT
05
—
870615840003
—
UT
Enumeration date
06/17/2006
Last updated
08/29/2012
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