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Jack Thomas
NPI 1215622717 · on the registry since 2023
Practice
- Address
- 81 S Mario Capecchi Dr Rm 4e217
Salt Lake City, UT 84112 - Phone
- (801) 662-5700
- Clinicians at this address
- 11
Registry record
- Primary taxonomy
- 2080P0202X
2080P0202X
- Also registered as
- 390200000X
208000000X - Licence states on file
- TN, UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-07-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah