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 is a Family Medicine Physician 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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