DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JOHN HEBER BODEN, M.D.

Active

MR. JOHN HEBER BODEN, M.D. is a 207WX0110X healthcare provider located in PHOENIX, Arizona. NPI 1114997418 is currently active in the NPPES registry. Verify at CMS.

207WX0110X · PHOENIX, AZ

Registration Details

NPI Number
1114997418
Provider Type
Individual
Gender
Male
NPI Issued
Jan 26, 2006 (20.581882724692 yrs)
Last Updated
Oct 25, 2023
Licenses
32434 (SC)
23537 (NE)
68744 (AZ)

Practice Information

Address
1919 E THOMAS RD
PHOENIX, AZ, 850167710
Browse AZ providers · Browse ZIP 85016
Phone
6029331000
Primary Specialty
207WX0110X
207WX0110X
Additional Specialty
General Practice
Additional Specialty
207WX0110X

Other 207WX0110X Providers in PHOENIX, AZ

Name Credential NPI
JAMES L PLOTNIK M.D. 1013907716
JAMES W ONEIL M.D. 1669462347
ELYSSA PETERS ROSENTHAL M.D. 1225007560
DR. CHRISTOPHER M. FECAROTTA MD 1003072018
DR. ANNE MERRYLEES DERSCH MD 1902462286
JAMILA G HIASAT MD 1164084034
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.