Individual
MIKE ELIAS BOVOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1250 E 3900 S, SUITE 260, SALT LAKE CITY, UT 84124-1348
(801) 265-2000
(801) 265-2008
Mailing address
1250 EAST 3900 SOUTH, SUITE 260, SALT LAKE CITY, UT 84124-1371
(801) 265-2000
(801) 265-2008
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
285706-1205
UT
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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