Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRIAN T BODEN, PAC
ActivePhysician Assistant · OREM, UT
Registration Details
- NPI Number
- 1316938673
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 4, 2005 (20.461760861654 yrs)
- Last Updated
- Jul 25, 2011
- Licenses
-
1391 (OK)7060654-1206 (UT)
Practice Information
- Address
-
1975 N STATE STOREM, UT, 840572028Browse UT providers · Browse ZIP 84057
- Phone
- 8017145000
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in OREM, UT
| Name | Credential | NPI |
|---|---|---|
| MR. BYRON CLYDE EDWARDS | PA-C, PH.D | 1902887193 |
| JASON EATOUGH | PA | 1205874179 |
| BARBARA J ROWLEY | PA-C | 1245244557 |
| TERI LYNN | PA | 1225129976 |
| MR. JARED BEN HAINS | PA | 1780750091 |
| JEF B ESQUERRA | PAC | 1548481914 |
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.