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

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1639734304

Dr. Cory M. Bosworth, MD is an Anatomic Pathology & Clinical Pathology Physician in Salt Lake City, Utah. Works from 2 locations. Licensed in Tennessee and Utah.

Licensed in
TN, UT
In the registry since
2019
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

15 N Medical Dr
Salt Lake City, UT 84112-1100
Phone: (801) 581-2121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 219 Devrow Ct, Franklin, TN 37064-6865 — (615) 415-9655

Specialties & licences

Hematology (Pathology) Physician (primary) Taxonomy 207ZH0000X · Licence 14126857-1205 (UT)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence 69834 (TN)

Record details

NPI number1639734304
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 7, 2019
Last updated in NPPESSeptember 10, 2024
Certification dateSeptember 10, 2024

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