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Dr. Cory M. Bosworth, MD

Pathology, Hematology in Salt Lake City, UT. Individual provider (NPI-1).

NPI number1639734304
StatusActive
Last updated in NPPESSep 10, 2024

Details

NPI
1639734304
Entity type
Individual (NPI-1)
Name
Dr. Cory M. Bosworth
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
May 7, 2019
Certification date
Sep 10, 2024
Last updated
Sep 10, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207ZH0000X Pathology, Hematology14126857-1205UTYes
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology69834TN

Practice location

15 N Medical Dr
Salt Lake City, UT 84112-1100

Phone 801-581-2121

Mailing address

15 N Medical Dr
Salt Lake City, UT 84112-1100

Phone 801-581-2121

Other practice locations

219 Devrow Ct
Franklin, TN 37064-6865

Phone 615-415-9655

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