Brian T Boden, PAC

NPI #1316938673 in Orem, Utah

Provider Information

NPI Number: 1316938673
Entity Type: Individual
Name: Brian T Boden, PAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: Nov 4, 2005
Last Updated: Jul 25, 2011

Practice Location

Address: 1975 N STATE ST
City: Orem
State: Utah
ZIP Code: 84057-2028
Phone: (801) 714-5000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Medical — Medical	363AM0700X
Physician Assistant	363A00000X	Primary

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