Provider Demographics
NPI:1861923088
Name:IORIO, CAITLIN BOLING (MD)
Entity type:Individual
Prefix:
First Name:CAITLIN
Middle Name:BOLING
Last Name:IORIO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7138 S HIGHLAND DR STE 218
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84121-3779
Mailing Address - Country:US
Mailing Address - Phone:385-289-6960
Mailing Address - Fax:
Practice Address - Street 1:7138 S HIGHLAND DR STE 218
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84121-3779
Practice Address - Country:US
Practice Address - Phone:385-289-6960
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-21
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT12742827-8905207Y00000X
IDMC-2518207Y00000X
390200000X
UT12742827-1205207YS0123X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YS0123XAllopathic & Osteopathic PhysiciansOtolaryngologyFacial Plastic Surgery
No207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program