NPI 1013071885
Charles Mikell Bova, MD
Practice location
- Address
- 3336 Pioneer Pkwy Suite 204, West Valley City, UT 84120-2000
- Phone
- (801) 964-3249
- Mailing address
- 3065 Oak Rim Ln, Park City, UT 84060-6804
Registered specialties
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
Registry record
- NPI
- 1013071885
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 19 Dec 2006
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.