DR. M.D. Stephen Richard Boden, NPI 1700878691
Allergy & Immunology Physician in Fort Walton Beach, FL, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1700878691
NPI Entity Type Individual
Provider Name DR. M.D. Stephen Richard Boden
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 339 Racetrack Rd Nw Ste 17, Fort Walton Beach, FL, US
Provider Mailing Address Dept. 453 Po Box 1000, Memphis, TN, US, 381480001
Gender Male
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

207K00000X

Taxonomy Name Allergy & Immunology Physician
Classification

Allergy & Immunology

Group

Allopathic & Osteopathic Physicians

License No. ME137334
License State FL
Description An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.

Business Address

DR. M.D. Stephen Richard Boden
339 Racetrack Rd Nw Ste 17

Fort Walton Beach, FL, US

Phone: 850-863-1189
Fax: 850-863-1241

Mailing Address

DR. M.D. Stephen Richard Boden
Dept. 453 Po Box 1000
Memphis, TN, US
ZIP 381480001
Phone: 828-575-2625
Fax: 828-350-2174

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
102859200 FL MEDICAID 05
LD948 FL MEDICARE PTAN 01

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