Individual
STEPHANIE ANN BODEN
Active
Individual
STEPHANIE ANN BODEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
59249
KY
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
036.163992
IL
Other
Enumeration date
04/02/2018
Last updated
07/26/2024
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