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Individual
STEVEN A BOARDMAN
Active
Individual
STEVEN A BOARDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036113720
IL
207X00000X
Orthopaedic Surgery Physician
31297
AZ
207X00000X
Orthopaedic Surgery Physician
36130
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036113720
—
IL
05
—
0593806
—
IA
01
—
106804
HEALTH ALLIANCE
—
01
—
247583
MIDLANDS CHOICE
—
01
—
39250
WELLMARK
—
01
—
526250
IA HEALTH SOLUTIONS
—
01
—
8121085
BCBS
IL
01
—
91897
WELLMARK
—
01
—
91904
WELLMARK
—
01
—
IL01B8
JOHN DEERE FAMILY
IL
01
—
P00244907
RR MEDICARE
—
Enumeration date
01/04/2006
Last updated
01/06/2011
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