Provider Demographics
NPI:1346253945
Name:THOBE, SUSANNE CHRISTINE (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:SUSANNE
Middle Name:CHRISTINE
Last Name:THOBE
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:875 DONNER WAY APT 608
Mailing Address - Street 2:
Mailing Address - City:SLC
Mailing Address - State:UT
Mailing Address - Zip Code:84108-2187
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:BLDG 5116 KISTER AVENUE
Practice Address - Street 2:
Practice Address - City:DUGWAY
Practice Address - State:UT
Practice Address - Zip Code:84022
Practice Address - Country:US
Practice Address - Phone:435-831-3453
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5400533-12052083P0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine