Marc E Boddicker in Rapid City - Mohs-micrographic Surgery
Marc E Boddicker - NPI 1235103060
Marc E Boddicker is a Mohs-micrographic Surgery in Rapid City, South Dakota. Marc E Boddicker practices all healthcare services and medical treatments related to Mohs-micrographic Surgery. The NPI Number for Marc E Boddicker is 1235103060. The last update date is 2016-03-18.
Marc E Boddicker's current location address is Po Box 3468, Rapid City, South Dakota. You can contact this provider via phone number 6053438000 and fax number 6053418575. The mailing address for Marc E Boddicker is Po Box 3468, Rapid City, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marc E Boddicker |
|---|---|
| Address | Po Box 3468, Rapid City, South Dakota |
| Phone Number | 6053438000 |
| Fax Number | 6053418575 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1235103060 |
|---|---|
| Provider Enumeration Date | 2006-02-16 |
| Last Updated Date | 2016-03-18 |
Provider Mailing Address Detail
| Address | Po Box 3468 |
|---|---|
| City | Rapid City |
| State | South Dakota (SD) |
| Post Code | 577093468 |
| Phone Number | 6053438000 |
| Fax Number | 6053418575 |
Provider's Primary Taxonomy Detail
| Speciality | Mohs-micrographic Surgery |
|---|---|
| Taxonomy | 207Nd0101X |
| Licence No | 1485 |
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Definition: The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 41192855200 | SD | NE MEDICAID | |
| 70013291 | SD | RR MEDICARE | |
| 5900162 | SD | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Marc E Boddicker by the Centers for Medicare & Medicaid Services?
The Marc E Boddicker has been assigned the NPI (National Provider Identifier) 1235103060. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Marc E Boddicker?
The Marc E Boddicker is physically situated at Po Box 3468, in the city of Rapid City, state of SD, with the postal code 577093468.
What is the area of specialization for Marc E Boddicker, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Marc E Boddicker is Mohs-micrographic Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 207Nd0101X.
On what date did the Marc E Boddicker receive the assignment of its 1235103060 from the Centers for Medicare & Medicaid Services?
The Marc E Boddicker was issued its 1235103060 by the Centers for Medicare & Medicaid Services on 2006-02-16.
When was the information related to Marc E Boddicker most recently updated or refreshed?
The details pertaining to the Marc E Boddicker, including its address, specialty, and other relevant information, were last updated or refreshed on 2016-03-18.