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Thomas L Hannum, MD
Specialist in Brigham City, Utah
NPI 1174721674

Thomas L Hannum is a Specialist based in Brigham City, UT. Thomas L Hannum practices in Brigham City, UT and has the professional credentials of MD. The NPI Number for Thomas L Hannum is 1174721674 and holds a License No. 145094-1205 (Utah).

The current practice location address for Thomas L Hannum is 984 Medical Dr, Brigham City, UT and can be reached out via phone at 435-723-5248 and via fax at 435-723-5240.

Location: 984 Medical Dr, Brigham City, UT, 84302-4712
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174721674
Provider Name
Thomas L Hannum
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
984 Medical Dr, Brigham City, UT, 84302-4712
Phone Number
435-723-5248
Fax Number
435-723-5240
Provider Enumeration Date
07/05/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
984 Medical Dr
City
Brigham City
State
Utah
Zip
84302-4712
Phone Number
435-723-5248
Fax Number
435-723-5240
person
Provider Business Mailing Address Details
Address
984 Medical Dr
City
Brigham City
State
Utah
Zip
84302-4712
Phone Number
435-723-5248
Fax Number
435-723-5240
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
145094-1205 (Utah)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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