| Jaime Alden Booz, | |
|
1012 W Jordan River Blvd, Midvale, UT 84047-4865 | |
| (801) 647-5691 | |
| Not Available |
| Full Name | Jaime Alden Booz |
|---|---|
| Gender | Male |
| Speciality | Speech-language Pathologist |
| Location | 1012 W Jordan River Blvd, Midvale, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083245690 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 10231059-4102 (Utah) | Primary |
| Provider Name | University Of Utah |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1588656870 PECOS PAC ID: 0749262665 Enrollment ID: O20050629000441 |
| Mailing Address | Practice Location Address |
|---|---|
| Jaime Alden Booz, 655 E 3065 S, South Salt Lake, UT 84106-1350 Ph: (801) 647-5691 | Jaime Alden Booz, 1012 W Jordan River Blvd, Midvale, UT 84047-4865 Ph: (801) 647-5691 |
Madison Staples, M.S., CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 570 E Greenwood Ave, Midvale, UT 84047 Phone: 385-444-5450 | |
Mobile Mbs Inc. Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 7437 Union Mill Ct, Midvale, UT 84047 Phone: 801-633-3104 | |
Beverly Ann Lujan, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 898 E 7800 S, Midvale, UT 84047 Phone: 801-566-5555 |