Individual
STEPHEN ODELL BOEHNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2340 W BELL RD STE 112, PHOENIX, AZ 85023-3206
(602) 298-1822
(602) 298-1823
Mailing address
2340 W BELL RD STE 112, PHOENIX, AZ 85023-3206
(602) 298-1822
(602) 298-1823
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
20-4025903
AZ
Other
Enumeration date
01/18/2007
Last updated
07/21/2008
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