Stephanie Boulter, PA-C
NPI #1295970515 in Cottonwood Heights, Utah
Provider Information
- NPI Number
- 1295970515
- Entity Type
- Individual
- Name
- Stephanie Boulter, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Dec 16, 2008
- Last Updated
- Aug 12, 2025
Practice Location
- Address
- 1265 E FORT UNION BLVD STE 120
- State
- Utah
- ZIP Code
- 84047-1845
- Phone
- (801) 917-5561
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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