NPI 1962855056 · live from the CMS NPI Registry
Thomas Anthony Beck, D.P.M.
Podiatrist in Salt Lake City, UT. National Provider Identifier 1962855056, active.
NPI record
| NPI | 1962855056 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 500 Foothill Blvd, Salt Lake City, UT 84148 |
| Practice phone | 435-979-2401 |
| Mailing address | 7851 S Chadbourne Dr Unit A, Cottonwood Heights, UT 84121 |
| Enumerated | July 13, 2016 |
| Last updated | May 8, 2019 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist primary | 213E00000X | 6835992-0501 (UT) |
| Assistant, Podiatric | 211D00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.