NPI 1710085261 · live from the CMS NPI Registry
Thomas R Austad, DPM
Podiatrist in Roy, UT. National Provider Identifier 1710085261, active.
NPI record
| NPI | 1710085261 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 1885 West 4400 South, Roy, UT 84067 |
| Practice phone | 801-731-3833 |
| Enumerated | September 20, 2006 |
| Last updated | February 8, 2008 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist primary | 213E00000X | 1026230501 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.