Individual
MARY MILNER BOYETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3443 W 5600 S, ROY, UT 84067-9103
(801) 773-4840
(801) 525-8151
Mailing address
PO BOX 337, LAYTON, UT 84041-0337
(801) 773-4840
(801) 525-8151
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9116958-1206
UT
Other
Enumeration date
10/08/2018
Last updated
11/21/2024
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