BODEN PORT, DO
General Practice
Active
Individual
NPI: 1003519919
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| General Practice | 208D00000X | Yes | 02008108A (IN) |
Frequently Asked Questions
NPI 1003519919 is the National Provider Identifier for BODEN PORT, DO, a General Practice provider located in Fe Warren Afb, WY. This NPI was enumerated on March 22, 2023.
BODEN PORT, DO practices at 6900 ALDEN DR BLDG 160, Fe Warren Afb, WY 82005.
Quick Facts
- NPI
- 1003519919
- Type
- Individual
- Enumerated
- Mar 22, 2023
- Last Updated
- Apr 21, 2025
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