Individual
DR. CORY M. BOSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15 N MEDICAL DR, SALT LAKE CITY, UT 84112-1100
(801) 581-2121
Mailing address
15 N MEDICAL DR, SALT LAKE CITY, UT 84112-1100
(801) 581-2121
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
Primary
14126857-1205
UT
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
69834
TN
Other
Enumeration date
05/07/2019
Last updated
09/10/2024
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