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

MA Bo Inc

Organization Family Medicine Physician · NPI 1588185581

MA Bo Inc provides Family Medicine Physician services in Salt Lake City, Utah. Registered with an NPI since 2017.

In the registry since
2017
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

466 E 500 S Ste 200
Salt Lake City, UT 84111-3350
Phone: (801) 485-5055
Fax: (801) 467-3296
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1588185581
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMA Bo Inc
Authorized official Caitlin Cacciatore — Office Manager · (801) 485-5055
NPI enumeratedJune 29, 2017
Last updated in NPPESJuly 19, 2024
Certification dateApril 4, 2024
Mailing address466 E 500 S Ste 200, Salt Lake City, UT 84111-3350

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