Individual
JAMES H BODDICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
115 8TH ST NE, CEDAR RAPIDS, IA 52401
(319) 363-3565
(319) 363-4001
Mailing address
115 8TH ST NE, CEDAR RAPIDS, IA 52401
(319) 363-3565
(319) 363-4001
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
19024
IA
207RP1001X
Pulmonary Disease Physician
Primary
19024
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0003509
—
IA
01
—
03560
BCBS
IA
Enumeration date
08/21/2006
Last updated
09/11/2013
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