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Thomas Bullock Simon, DPM
Podiatrist in Holladay, Utah
NPI 1356832398

Thomas Bullock Simon is a Podiatrist based in Holladay, UT. Thomas Bullock Simon practices in Holladay, UT and has the professional credentials of DPM. The NPI Number for Thomas Bullock Simon is 1356832398 and holds a License No. T17-2018 (Utah).

The current practice location address for Thomas Bullock Simon is 6405 S 3000 E Ste 300, Holladay, UT and can be reached out via phone at 801-266-3113 and via fax at 801-931-2166.

Location: 6405 S 3000 E Ste 300, Holladay, UT, 84121-6977
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356832398
Provider Name
Thomas Bullock Simon
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
6405 S 3000 E Ste 300, Holladay, UT, 84121-6977
Phone Number
801-266-3113
Fax Number
801-931-2166
Provider Enumeration Date
05/25/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4071953 05 UT
institution
Provider Business Practice Location Address Details
Address
6405 S 3000 E Ste 300
City
Holladay
State
Utah
Zip
84121-6977
Phone Number
801-266-3113
Fax Number
801-931-2166
person
Provider Business Mailing Address Details
Address
6405 S 3000 E Ste 300
City
Holladay
State
Utah
Zip
84121-6977
Phone Number
801-266-3113
Fax Number
801-931-2166
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
12286299-0501 (Utah)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
T17-2018 (Texas)
Definition
Definition to come...
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