Ma Bo Inc is a Family Medicine in Salt Lake City, Utah. Ma Bo Inc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Ma Bo Inc is 1740461219. The last update date is 2023-08-21.
Ma Bo Inc's current location address is 522 E 100 S, Salt Lake City, Utah. You can contact this provider via phone number 8014855055 and fax number 8014673296. The mailing address for Ma Bo Inc is 522 E 100 S, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ma Bo Inc |
|---|---|
| Address | 522 E 100 S, Salt Lake City, Utah |
| Phone Number | 8014855055 |
| Fax Number | 8014673296 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRACTICE M |
|---|---|
| Authorized Official Name | Cacciatore Caitlin |
| Telephone Number | 8014855055 |
NPI Number Detail
| NPI Number | 1740461219 |
|---|---|
| Provider Enumeration Date | 2007-11-26 |
| Last Updated Date | 2023-08-21 |
Provider Mailing Address Detail
| Address | 522 E 100 S |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841021905 |
| Phone Number | 8014855055 |
| Fax Number | 8014673296 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 57838 | UT | PTAN |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Ma Bo Inc by the Centers for Medicare & Medicaid Services?
The Ma Bo Inc has been assigned the NPI (National Provider Identifier) 1740461219 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Ma Bo Inc's physical address?
The Ma Bo Inc is physically located at 522 E 100 S, in the city of Salt Lake City, UT, with the postal code 841021905.
What is Ma Bo Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Ma Bo Inc is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.
On what date did the Ma Bo Inc receive the assignment of its 1740461219 from the Centers for Medicare & Medicaid Services?
The Ma Bo Inc was issued its 1740461219 by the Centers for Medicare & Medicaid Services on 2007-11-26.
When was the information regarding Ma Bo Inc most recently updated?
The details pertaining to the Ma Bo Inc, including its address, specialty, and other relevant information, were last refreshed on 2023-08-21.