Individual
ANTONY R. BOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4300 GOLDEN CENTER DR, SUITE C, PLACERVILLE, CA 95667-6278
(530) 344-2085
(530) 295-0400
Mailing address
4300 GOLDEN CENTER DR, SUITE C, PLACERVILLE, CA 95667-6278
(530) 344-2085
(530) 295-0400
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A80813
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A808130
—
CA
01
—
A80813
CALIFORNIA MEDICAL LICENS
CA
Enumeration date
06/10/2006
Last updated
12/17/2021
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