Individual
DR. STEPHEN RICHARD BODEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
390 N MAIN ST, BOUNTIFUL, UT 84010-6046
(801) 397-6300
Mailing address
PO BOX 27128, SLC, UT 84127-0128
(801) 397-6300
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
12974480-1205
UT
208000000X
Pediatrics Physician
12974480-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102859200
—
FL
05
—
4128124
—
UT
01
—
LD948
MEDICARE PTAN
FL
Enumeration date
08/17/2005
Last updated
03/01/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us