Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 10957030-1205 | UT |
NPI | 1003347790 |
---|---|
Provider Name | Dr. Thomas Patrick Curtin |
First Address | Salt Lake City, UT 84113-1125 |
Second Address | Salt Lake City, UT 84113-1125 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2017 |
Last Update Date | 10/10/2018 |