Individual
DR. VERNIE DOUGLAS BODDEN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5224 N. 750 WEST, OAKLEY, UT 84055-0664
(435) 783-5983
(435) 783-5985
Mailing address
PO BOX 664, OAKLEY, UT 84055-0664
(435) 783-5983
(435) 783-5985
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
D9361
TX
Other
Enumeration date
10/31/2006
Last updated
07/08/2007
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