Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RICHARD BOMAN
Active Sole ProprietorAthletic Trainer · LAYTON, UT
Registration Details
- NPI Number
- 1275170706
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 3, 2019 (6.3835682603209 yrs)
- Last Updated
- Dec 3, 2019
- License
-
289231-1701 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
500 SUGAR STLAYTON, UT, 840414616Browse UT providers · Browse ZIP 84041
- Phone
- 4355129506
- Primary Specialty
-
Athletic Trainer
225500000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.