Michael Scott Boedefeld MD

NPI 1043299548 - Anesthesiology - 207L00000X

NPI Details
NPI 1043299548
Gender Male
Enumeration Date 01/12/2006
Last Updated 09/06/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
114 PIPER HILL DR.
SUITE 103
ST. PETERS MO, 63376, US
Phone (636) 386-7222
Fax (636) 386-7810
Business Location
PO BOX 22407
SAINT LOUIS MO, 63126-0407, US
Phone (636) 386-7222
Fax (636) 386-7810
Toxanomy
Taxonomy Code 207L00000X
License State Missouri
License Number 2004009978
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According to our database, Dr. Michael Scott Boedefeld MD NPI is 1043299548, taxonomy code is 207L00000X and license number is 2004009978, license state is located at Missouri. Michael Scott Boedefeld MD physically located at 114 Piper Hill Dr., St. Peters MO, 63376. NPI Number Michael Scott Boedefeld MD has the Individual type.

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1043299548 NPI number is provided on an as is basis without warranty of any kind. 1043299548 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Scott Boedefeld MD are for informational purposes only.