| Coulson Dirk Boggess, | |
|
449 E 960 S, Salem, UT 84653-4606 | |
| (801) 609-8641 | |
| Not Available |
| Full Name | Coulson Dirk Boggess |
|---|---|
| Gender | |
| Speciality | Physician Assistant |
| Location | 449 E 960 S, Salem, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215829775 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Coulson Dirk Boggess, 449 E 960 S, Salem, UT 84653-4606 Ph: () - | Coulson Dirk Boggess, 449 E 960 S, Salem, UT 84653-4606 Ph: (801) 609-8641 |
Robert Wright, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 555 W Sr 164, Salem, UT 84653 Phone: 801-465-4896 | |
Shawn Stephen Hill, MPAS Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 555 W Sr 164, Salem, UT 84653 Phone: 801-465-4813 Fax: 801-812-5433 | |
Jonathan D Nelson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 555 W Sr 164, Salem, UT 84653 Phone: 801-465-4813 Fax: 801-812-5433 | |
Whitney Mccoy, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 555 W Sr 164, Salem, UT 84653 Phone: 801-465-4896 Fax: 801-465-3267 | |
Tye Frank Johnson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 555 W Sr 164, Salem, UT 84653 Phone: 801-465-4896 Fax: 801-465-3267 | |
Mr. Aaron Gregory Fausett, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 555 W State Road 164, Salem, UT 84653 Phone: 801-465-4896 Fax: 801-465-3267 |