Samantha P Bostrom
MD | Pediatrics | Female
Samantha P Bostrom, MD is a Clinton, Utah based Pediatric doctor with medical specialization in
General Pediatrics. Samantha P Bostrom is also known as
Samantha N Pike Bostrom.
Current practice location of Samantha P Bostrom is
1477 North 2000 West, Suite C, Clinton, Utah - 84015-8213. She can be contacted on phone at
801-774-8888 and fax number 801-825-8519.
Samantha P Bostrom is a sole proprietor of her business.
NPI number (Unique professional ID) for Samantha P Bostrom is
1881801579 which was assigned by NPPES on 16 May, 2007 and it was last updated on 12 Aug, 2015.
Samantha P Bostrom license number is
327457-1205 for Pediatrics (208000000X) in Utah.
Samantha P Bostrom is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Samantha P Bostrom basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Samantha P Bostrom |
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| Other Name : | Samantha N Pike Bostrom |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Samantha P Bostrom address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1477 North 2000 West, Suite C
Clinton, UT, 84015-8213
United States |
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| Phone Number : | 801-774-8888 |
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| Fax Number : | 801-825-8519 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1881801579 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 16 May, 2007 |
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| Last Updated On : | 12 Aug, 2015 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Samantha P Bostrom are as mentioned. Primary taxonomy code for Samantha P Bostrom, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 327457-1205 | UT |
Legacy Identifiers:
Other legacy medical identifiers of Samantha P Bostrom such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| D2612 | MEDICAID | UT | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1477 North 2000 West, Suite C
Clinton, UT, 84015-8213
United States |
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| Phone Number : | 801-774-8888 |
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| Fax Number : | 801-825-8519 |
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Business Location:
Patients can refer following map for directions to
Samantha P Bostrom practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.