Individual provider · Type 1 NPI

Wyatt James Boles, DO

Family Medicine Physician · Provo, UT

NPI number 1083190649 Active

Practice location

1055 N 500 W, Bldg A
Provo, UT 84604

Call (801) 812-5033 Map

Fax (801) 812-5034

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X7685502-1204 (UT)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1083190649

Wyatt James Boles, DO's National Provider Identifier is 1083190649, issued on Jul 17, 2018. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Provo, UT. The record was last updated on Sep 18, 2025.