Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JERALD P BOSEMAN, MD
ActiveNephrology · OREM, UT
Registration Details
- NPI Number
- 1801807144
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 11, 2006 (19.760930589456 yrs)
- Last Updated
- May 2, 2024
- Licenses
-
48849 (MN)48108 (CO)5929764-1205 (UT)
Practice Information
- Address
-
121 S OREM BLVD STE 103OREM, UT, 840583006Browse UT providers · Browse ZIP 84058
- Phone
- 8012254911
- Fax
- 8012254854
- Primary Specialty
-
Nephrology
207RN0300X
- Additional Specialty
- Nephrology
- Additional Specialty
- Nephrology
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.