Individual provider · Type 1 NPI
James Douglas Boodt, DPM
Student in an Organized Health Care Education/Training Program · Dayton, OH
NPI number
1720600331
Active
Practice location
4100 W 3rd St
Dayton, OH 45428-9000
Mailing address
1547 Fisherville Ct
Auburn, MI 48611-8529
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1720600331
James Douglas Boodt, DPM's National Provider Identifier is 1720600331, issued on May 18, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Dayton, OH. The record was last updated on May 18, 2020.