IndividualActive
Benjamin Thomas, D.P.M.
NPI 1043659055 · Podiatrist · Providence, UT
Provider details
- NPI number
- 1043659055
- Entity type
- Individual
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- D.P.M.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 9065049-0501 (UT)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Podiatric Medicine & Surgery Service Providers
Practice location
435 N Gateway Dr Ste 801
Providence, UT 84332-9004
Phone: (435) 787-1023
Fax: (435) 787-1882
Approximate (ZIP-level) locationGet directions
Mailing address
435 N Gateway Dr Ste 801
Providence, UT 84332-9004
Registry dates
- Enumerated
- 2013-06-24
- Last updated
- 2025-11-11
- Certified
- 2025-11-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.