Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL SCOTT BOEDEFELD, MD
ActiveDR. MICHAEL SCOTT BOEDEFELD, MD is a Pain Medicine (Anesthesiology) healthcare provider located in FENTON, Missouri. NPI 1043299548 is currently active in the NPPES registry. Verify at CMS.
Pain Medicine (Anesthesiology) · FENTON, MO
Registration Details
- NPI Number
- 1043299548
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 12, 2006 (20.623628767658 yrs)
- Last Updated
- Oct 20, 2020
- Licenses
-
2004009978 (MO)2004009978 (MO)
Practice Information
- Address
-
1055 BOWLES AVE STE 202FENTON, MO, 630262308Browse MO providers · Browse ZIP 63026
- Phone
- 6363867222
- Fax
- 6363867810
- Primary Specialty
-
Pain Medicine (Anesthesiology)
207LP2900X
- Additional Specialty
- Pain Medicine (Anesthesiology)
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.