Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Wyatt James Boles, DO

Individual provider Family Medicine Physician · NPI 1083190649

Wyatt James Boles, DO is a Family Practice in Provo, Utah. Graduated from Pacific NW Un of Hs, Col of Osteopathic Medicine in 2018, 8 years ago. Licensed in Utah.

Years since qualifying
8
Trained at
Pacific NW Un of Hs, Col of Osteopathic Medicine
Licensed in
UT
In the registry since
2018
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1055 N 500 W Bldg A
Provo, UT 84604
Phone: (801) 812-5033
Fax: (801) 812-5034
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 7685502-1204 (UT)

Record details

NPI number1083190649
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 17, 2018
Last updated in NPPESSeptember 18, 2025
Certification dateSeptember 18, 2025
Mailing address1055 N 500 W, Provo, UT 84604-3305

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolPACIFIC NW UN OF HS, COL OF OSTEOPATHIC MEDICINE
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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