Individual
PAYTON BODDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11125 DUNN RD STE 301, SAINT LOUIS, MO 63136-6132
(314) 273-2234
Mailing address
PO BOX 959354, SAINT LOUIS, MO 63195-9354
(314) 953-8250
(314) 953-8255
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2026003572
MO
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
12/09/2025
Last updated
01/29/2026
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