# SUSAN BOACKLE CHILDRESS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1235229915
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RR0500X | Rheumatology Physician | 335634 | LA | — |
| 207RR0500X | Rheumatology Physician | 35598 | CO | — |
| 207RR0500X | Rheumatology Physician | 70477 | AZ | — |
| 207RR0500X | Rheumatology Physician | CDRH.0035598 | CO | Yes |
| 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