Brian T. Boden, PAC

Physician Assistant · Orem, UT

Individual Active NPI

NPI number 1316938673

Practice location

1975 N State St
Orem, UT 84057-2028
Phone
(801) 714-5000

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NPI record

NPI
1316938673
Entity type
Individual (Type 1)
Enumeration date
November 4, 2005
Last updated
July 25, 2011
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 7060654-1206 UT
Medical Physician Assistant 363AM0700X 1391 OK

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128
Phone
(801) 714-5000

About Brian Boden

Brian T. Boden, PAC is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 1975 N State St, Orem, UT 84057-2028. The NPI number 1316938673 was assigned on November 4, 2005 and the record was last updated on July 25, 2011.

Brian Boden lists 2 licenses in the registry: #7060654-1206 (UT) for Physician Assistant; #1391 (OK) for Medical Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Brian T. Boden, PAC?

The NPI number is 1316938673.

What is the phone number of Brian Boden?

The phone number listed for the practice location is (801) 714-5000.

Where is Brian Boden located?

1975 N State St, Orem, UT 84057-2028.

What is the taxonomy code for Brian Boden?

The primary taxonomy code is 363A00000X – Physician Assistant; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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