Individual
EMILY BODEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1309 10TH AVE W, MOBRIDGE, SD 57601-1146
(605) 845-3692
(605) 845-8239
Mailing address
1309 10TH AVE W, MOBRIDGE, SD 57601-1146
(605) 845-3692
(605) 845-8239
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
11018400A
IN
207Q00000X
Family Medicine Physician
Primary
11168
SD
390200000X
Student in an Organized Health Care Education/Training Program
11018400A
IN
Other
Enumeration date
06/15/2015
Last updated
01/24/2019
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