Provider Demographics
NPI:1912526294
Name:BOYER MEDICAL SOLUTIONS
Entity Type:Organization
Organization Name:BOYER MEDICAL SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FNP
Authorized Official - Prefix:
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:L
Authorized Official - Last Name:BOYER
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:559-320-5106
Mailing Address - Street 1:2322 N 2080 W
Mailing Address - Street 2:
Mailing Address - City:LEHI
Mailing Address - State:UT
Mailing Address - Zip Code:84043-4897
Mailing Address - Country:US
Mailing Address - Phone:559-320-5106
Mailing Address - Fax:
Practice Address - Street 1:2322 N 2080 W
Practice Address - Street 2:
Practice Address - City:LEHI
Practice Address - State:UT
Practice Address - Zip Code:84043-4897
Practice Address - Country:US
Practice Address - Phone:559-320-5106
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-16
Last Update Date:2020-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care