Organization
ASPEN FAMILY MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYSON BOLTZ (OWNER)
(385) 333-7633
Entity
Organization
Contact information
Practice address
1062 E 220 S, AMERICAN FORK, UT 84003-5504
(385) 333-7633
(833) 989-2351
Mailing address
1062 E 220 S, AMERICAN FORK, UT 84003-5504
(385) 333-7633
(833) 989-2351
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/14/2020
Last updated
05/29/2024
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