Individual provider · NPI-1

Dr. Thomas Anthony Beck, D.P.M.

Podiatrist · Salt Lake City, UT

NPI number1962855056
StatusActive
Last updated in NPPESMay 8, 2019

Details

NPI
1962855056
Entity type
Individual (NPI-1)
Name
Dr. Thomas Anthony Beck
Credential
D.P.M.
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 13, 2016
Last updated
May 8, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213E00000X Podiatrist6835992-0501UTYes
211D00000X Assistant, Podiatric––

Practice location

500 Foothill Blvd
Salt Lake City, UT 84148-0001

Phone 435-979-2401

Mailing address

7851 S Chadbourne Dr Unit A
Cottonwood Heights, UT 84121-5806

Phone 435-979-2401

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