Ma Bo INC
NPI #1275182487 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1275182487
- Entity Type
- Organization
- Organization Name
- Ma Bo INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MA BO INC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Sep 10, 2019
- Last Updated
- Sep 10, 2019
Practice Location
- Address
- 522 E 100 S
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84102-1905
- Phone
- (801) 485-5055
Authorized Official
- Name
- CAITLIN DANIELLE CACCIATORE
- Title
- OFFICE ADMINISTRATOR
- Phone
- (801) 485-5055
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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