| Samantha P Bostrom, MD | |
|
1477 North 2000 West, Suite C, Clinton, UT 84015-8213 | |
| (801) 774-8888 | |
| (801) 825-8519 |
| Full Name | Samantha P Bostrom |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1477 North 2000 West, Clinton, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881801579 | NPI | - | NPPES |
| D2612 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 327457-1205 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha P Bostrom, MD 1477 North 2000 West, Suite C, Clinton, UT 84015-8213 Ph: (801) 774-8888 | Samantha P Bostrom, MD 1477 North 2000 West, Suite C, Clinton, UT 84015-8213 Ph: (801) 774-8888 |
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› Verified 3 days ago
Nermeen Nadeem Baseer, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1477 N 2000 W Ste C, Clinton, UT 84015 Phone: 801-774-8888 |