Individual
DANIEL JAMES BOEDEKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6767 S YALE AVE, SUITE A, TULSA, OK 74136-3302
(918) 492-7587
Mailing address
6767 S YALE AVE, SUITE A, TULSA, OK 74136-3302
(918) 492-7587
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
24729
OK
Other
Enumeration date
05/05/2006
Last updated
12/16/2009
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