Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BODEN JAMES PORT, DO
ActiveBODEN JAMES PORT, DO is a General Practice healthcare provider located in FE WARREN AFB, Wyoming. NPI 1003519919 is currently active in the NPPES registry. Verify at CMS.
General Practice · FE WARREN AFB, WY
Registration Details
- NPI Number
- 1003519919
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 22, 2023 (3.3750095267441 yrs)
- Last Updated
- Apr 21, 2025
- License
-
02008108A (IN)
Practice Information
- Address
-
6900 ALDEN DR BLDG 160FE WARREN AFB, WY, 820052945Browse WY providers · Browse ZIP 82005
- Phone
- 3077733039
- Primary Specialty
-
General Practice
208D00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.