Search › Utah › 183500000X
Bo Shupe
NPI 1215541057 · on the registry since 2020
Practice
- Address
- 1208 Washington Blvd
Ogden, UT 84404 - Phone
- (801) 621-1367
- Fax
- (801) 621-4289
- Organisation at this address
- Walgreen Co
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-08-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah