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

DR. MARC E BODDICKER, MD

Active

DR. MARC E BODDICKER, MD is a Dermatology healthcare provider located in RAPID CITY, South Dakota. NPI 1235103060 is currently active in the NPPES registry. Verify at CMS.

Dermatology · RAPID CITY, SD

Registration Details

NPI Number
1235103060
Provider Type
Individual
Gender
Male
NPI Issued
Feb 16, 2006 (20.305858091248 yrs)
Last Updated
Mar 18, 2016
Licenses
1485 (SD)
1485 (SD)
1485 (SD)
1485 (SD)

Practice Information

Address
710 SAINT ANNE ST
RAPID CITY, SD, 577014670
Browse SD providers · Browse ZIP 57701
Phone
6053438000
Fax
6053418575
Primary Specialty
Dermatology
207N00000X
Additional Specialty
Dermatopathology
Additional Specialty
Procedural Dermatology
Additional Specialty
Obesity Medicine

Other Dermatology Providers in RAPID CITY, SD

Name Credential NPI
BRIANA HILL 1306825518
DR. ROGER STEVEN KNUTSEN M.D. 1972573707
DR. VASSILIA D YOUNG MD 1750353389
VICTORIA FINLEY 1457303158
TAMARA POLING 1053357962
GREGORY WITTENBERG 1760418420
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.