| Robert Jay Thomas Jr Phd Pc | |
|
675 E 2100 S Ste 250 Salt Lake City UT 84106-5318 | |
| (801) 867-8550 | |
| (801) 484-3862 |
| Full Name | Robert Jay Thomas Jr Phd Pc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 675 E 2100 S, Salt Lake City, Utah |
| Authorized Official Name and Position | Robert Jay Thomas (OWNER) |
| Authorized Official Contact | 8018678550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Jay Thomas Jr Phd Pc 675 E 2100 S Ste 250 Salt Lake City UT 84106-5318 Ph: (801) 867-8550 | Robert Jay Thomas Jr Phd Pc 675 E 2100 S Ste 250 Salt Lake City UT 84106-5318 Ph: (801) 867-8550 |
| NPI Number | 1912205360 |
|---|---|
| Provider Enumeration Date | 03/09/2011 |
| Last Update Date | 07/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912205360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 22-110817-2501 (Utah) | Primary |
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