Individual
DR. DATUS BROCK THORUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 N MARIO CAPECCHI DR, SALT LAKE CTY, UT 84113-1103
(801) 662-4980
Mailing address
PO BOX 3870, SALT LAKE CITY, UT 84110-3870
(801) 432-2600
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
104987141205
UT
207LP3000X
Pediatric Anesthesiology Physician
Primary
10498714
UT
Other
Enumeration date
05/26/2016
Last updated
07/23/2025
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