Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MA Bo Inc

Organization Family Medicine Physician · NPI 1275182487

MA Bo Inc provides Family Medicine Physician services in Salt Lake City, Utah. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

522 E 100 S
Salt Lake City, UT 84102-1905
Phone: (801) 485-5055
Fax: (801) 467-3296
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1275182487
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMA Bo Inc
Authorized official Caitlin Cacciatore — Office Administrator · (801) 485-5055
NPI enumeratedSeptember 10, 2019
Last updated in NPPESSeptember 10, 2019
Mailing address522 E 100 S, Salt Lake City, UT 84102-1905

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