Samantha P Bostrom, MD

NPI #1881801579 in Clinton, Utah

Provider Information

NPI Number: 1881801579
Entity Type: Individual
Name: Samantha P Bostrom, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: MD
Enumeration Date: May 16, 2007
Last Updated: Aug 12, 2015

Practice Location

Address: 1477 NORTH 2000 WEST
Address 2: SUITE C
City: Clinton
State: Utah
ZIP Code: 84015-8213
Phone: (801) 774-8888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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