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NPI Code Detail

MEDICARE: CAITLIN BOLING IORIO MD

MEDICARE:   CAITLIN BOLING IORIO  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Y00000XOtolaryngology Physician12742827-8905UT
2207Y00000XOtolaryngology PhysicianMC-2518ID
3390200000XStudent in an Organized Health Care Education/Training Program
4207YS0123XFacial Plastic Surgery Physician12742827-1205UT

General Provider Information

NPI Number : 1861923088
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAITLIN BOLING IORIO MD
Provider Business Mailing Address
First Line : 7138 S HIGHLAND DR STE 218
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84121-3779
Country : US
Telephone Number : 385-289-6960
Fax Number :
Provider Business Practice Location Address
First Line : 7138 S HIGHLAND DR STE 218
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84121-3779
Country : US
Telephone Number : 385-289-6960
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2017
Last Update Date : 06/11/2025

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Directions to “ CAITLIN BOLING IORIO MD” Practice Location

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