Thomas Bullock Simon, DPM

NPI #1356832398 in Holladay, Utah

Provider Information

NPI Number: 1356832398
Entity Type: Individual
Name: Thomas Bullock Simon, DPM
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Podiatrist
Credential: DPM
Enumeration Date: May 25, 2018
Last Updated: Feb 5, 2024

Practice Location

Address: 6405 S 3000 E STE 300
City: Holladay
State: Utah
ZIP Code: 84121-6977
Phone: (801) 266-3113

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary
Podiatrist - Foot & Ankle Surgery — Foot & Ankle Surgery	213ES0103X

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