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Individual

DAVID RAY THOMAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2795 CASTO LN, SALT LAKE CITY, UT 84117-6304
(801) 272-2255
Mailing address
2795 CASTO LN, SALT LAKE CITY, UT 84117-6304
(801) 272-2255

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
150448-1205
UT

Other

Enumeration date
09/16/2009
Last updated
09/16/2009
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