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Individual
SUSAN BOACKLE CHILDRESS
Active
Individual
SUSAN BOACKLE CHILDRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
335634
LA
207RR0500X
Rheumatology Physician
35598
CO
207RR0500X
Rheumatology Physician
70477
AZ
207RR0500X
Rheumatology Physician
Primary
CDRH.0035598
CO
207RR0500X
Rheumatology Physician
H7909
TX
207RR0500X
Rheumatology Physician
MD.43902
AL
207RR0500X
Rheumatology Physician
MD28095
ME
Other
Enumeration date
10/13/2006
Last updated
01/25/2026
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