Stephen Richard Boden in Slc - Pediatrics

Stephen Richard Boden - NPI 1700878691

Stephen Richard Boden is a Pediatrics in Slc, Utah. Stephen Richard Boden practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Stephen Richard Boden is 1700878691. The last update date is 2023-03-01.

Stephen Richard Boden's current location address is Po Box 27128, Slc, Utah. You can contact this provider via phone number 8013976300. The mailing address for Stephen Richard Boden is Po Box 27128, Slc, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Name Stephen Richard Boden
Address Po Box 27128, Slc, Utah
Phone Number 8013976300
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1700878691
Provider Enumeration Date 2005-08-17
Last Updated Date 2023-03-01

Provider Mailing Address Detail

Address Po Box 27128
City Slc
State Utah (UT)
Post Code 841270128
Phone Number 8013976300
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No 12974480-120
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4128124 UT --
LD948 FL MEDICARE PTAN
102859200 FL --

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FAQs about Stephen Richard Boden

What is the unique provider identifier assigned to Stephen Richard Boden?

The Stephen Richard Boden has been issued the NPI (National Provider Identifier) 1700878691 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete physical address where Stephen Richard Boden is located?

The Stephen Richard Boden is situated at the following address: Po Box 27128, Slc, UT, 841270128.

What is Stephen Richard Boden's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Stephen Richard Boden is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 208000000X.

When did Stephen Richard Boden receive its 1700878691 assignment?

The Stephen Richard Boden was assigned its 1700878691 on 2005-08-17, which is the date when this unique identifier was issued to the organization.

When was the Stephen Richard Boden's information last updated?

The Stephen Richard Boden's information was last updated on 2023-03-01.

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