Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | 6103240-1205 | UT |
NPI | 1356378095 |
---|---|
Provider Name | Dr. Scott Kent Thompson |
First Address | Layton, UT 84041-1119 |
Second Address | Bountiful, UT 84010-7667 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2006 |
Last Update Date | 12/12/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I33369 | (02) | NY |