Dr. Charles Mikell Bova
Pain Medicine
3336 Pioneer Pkwy Suite 204
West Valley City
, Utah 84120-2000
Dr. Charles Mikell Bova
Pain Medicine
3336 Pioneer Pkwy Suite 204
West Valley City
, Utah 84120-2000
(435) 655-8648
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About
Features
Specialties
- Pain Medicine
Languages spoken
- English
Location
First Address
- Dr. Charles Mikell Bova
- 3065 Oak Rim Ln
- Park City, UT
- Zip : 84060-6804
- Phone : (435) 655-8648
Second Address
- Dr. Charles Mikell Bova
- 3336 Pioneer Pkwy Suite 204
- West Valley City, UT
- Zip : 84120-2000
- Phone : (801) 964-3249
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2081P2900X | Pain Medicine | 185699 | UT |
National Provider Identifier
| NPI | 1013071885 |
|---|---|
| Provider Name | Dr. Charles Mikell Bova |
| First Address | Park City, UT 84060-6804 |
| Second Address | West Valley City, UT 84120-2000 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/12/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| D43054 | (02) | UT |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.