MR. GARY THOMAS CCSU CTAT NPI 1306352091

NPI Information

NPI: 1306352091
Provider Name: MR. GARY THOMAS, CCSU, CTAT
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
1820 SIDEWINDER DR STE 100
PARK CITY, UT
ZIP 84060
Phone: (310) 871-8738
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MR. Gary Thomas, CCSU, CTAT is a specialist in Park City, UT. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MR. Gary Thomas, CCSU, CTAT NPI is 1306352091. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1820 SIDEWINDER DR STE 100
PARK CITY, UT
ZIP 84060-563
Phone: (310) 871-8738

The enumeration date for this NPI number is 12/18/2017 and was last updated on 12/18/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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