Provider Demographics
NPI:1245335397
Name:THOMAS, DAVID SNOW (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:SNOW
Last Name:THOMAS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1283 E SOUTH TEMPLE
Mailing Address - Street 2:402
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84102-1759
Mailing Address - Country:US
Mailing Address - Phone:801-518-5933
Mailing Address - Fax:801-322-1099
Practice Address - Street 1:370 9TH AVE
Practice Address - Street 2:200
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84103-2877
Practice Address - Country:US
Practice Address - Phone:801-355-0731
Practice Address - Fax:801-322-1099
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
UT1732291205208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
UTD20428Medicare UPIN