Thomas, Richard M

Thomas, Richard M is an individual health care provider with primary practice located at 223 E Broadway , Salt Lake City UT 84111-2413. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Thomas, Richard M can be contacted via phone (801) 845-9928.

Contact Information

Primary practice address
223 E Broadway Salt Lake City UT 84111-2413
Fax: (801) 895-7764
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 1628511205 Utah

Profile Details

NPI number 1215977517
LBN Legal business name Thomas, Richard M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Jun 19th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215977517 NPPES
Utah MEDICAID 870516264009

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