NPI 1285080796
Hawkins Boone Mecham, DO
Practice location
- Address
- 2162 S 180 E # 1000, Provo, UT 84606-7370
- Phone
- (385) 380-3425
- Mailing address
- 2162 S 180 E STE 1000, Provo, UT 84606-7370
Registered specialties (3)
Neuromusculoskeletal Medicine & OMM Physician
Primary
Sports Medicine (Neuromusculoskeletal Medicine) Physician
General Practice Physician
Registry record
- NPI
- 1285080796
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 13 May 2016
- Record last updated
- 19 Mar 2025
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.