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Contact Information

JOHN H BODEN, MD
1919 E THOMAS RD
PHOENIX, AZ85016-7710
 Phone: 602-933-1000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Ophthalmology and Strabismus Specialist

207WX0110X 18 Physician/Ophthalmology
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for JOHN H BODEN · (Male)

NPI Number 1114997418
Status Active
Credentials MD
Entity Individual
Enumeration date 01/26/2006
Last updated 10/25/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 68744
  • NE License # 23537
  • SC License # 32434
  • AZ Medicaid 137963
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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