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1215281118
ARTHUR TYSON BOLTZ
PROVO, UT
NPI
1215281118
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: UT 5274678-4405)
Enumeration Date
2012-10-31
Last Update Date
2024-01-18
Business Address
ARTHUR TYSON BOLTZ FNP-C
1055 N 500 W BLDG A
PROVO, UT 84604-3305
Phone number: 801-812-5033
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Mailing Address
ARTHUR TYSON BOLTZ FNP-C
1055 N 500 W ATTN: CREDENTIALING
PROVO, UT 84604-3305
Phone number: 801-354-8225
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