Organization
ROBERT JAY THOMAS JR PHD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT JAY THOMAS PHD (OWNER)
(801) 867-8550
Entity
Organization
Contact information
Practice address
675 E 2100 S, STE 250, SALT LAKE CITY, UT 84106-5318
(801) 867-8550
(801) 484-3862
Mailing address
675 E 2100 S, STE 250, SALT LAKE CITY, UT 84106-5318
(801) 867-8550
(801) 484-3862
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
22-110817-2501
UT
Other
Enumeration date
03/09/2011
Last updated
07/01/2011
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