Individual
DR. CHARLES MIKELL BOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3336 PIONEER PKWY, SUITE 204, WEST VALLEY CITY, UT 84120-2000
(801) 964-3249
Mailing address
3065 OAK RIM LN, PARK CITY, UT 84060-6804
(435) 655-8648
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
185699
UT
Other
Enumeration date
12/19/2006
Last updated
07/08/2007
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