Individual
DAVID C BOARDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2900 16TH ST, BEDFORD, IN 47421-3510
(812) 278-8800
(812) 275-1343
Mailing address
PO BOX 1149, BLOOMINGTON, IN 47402-1149
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02004902A
IN
207Q00000X
Family Medicine Physician
2002006268
MO
Other
Enumeration date
08/09/2005
Last updated
12/02/2020
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