Individual
MINDY M BOEHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1159 E 12TH ST, OGDEN, UT 84404-5144
(801) 475-3700
(801) 475-3701
Mailing address
PO BOX 5546, DENVER, CO 80217-5546
(801) 475-3700
(801) 475-3701
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
182068-1205
UT
Other
Enumeration date
09/29/2005
Last updated
01/18/2017
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