person
Boden James Port, DO
Student in an Organized Health Care Education/Training Program in Las Vegas, Nevada
NPI 1003519919

Boden James Port is a Student in an Organized Health Care Education/Training Program based in Knoxville, NV. Boden James Port practices in Las Vegas, NV and has the professional credentials of DO. The NPI Number for Boden James Port is 1003519919 and holds a License No. (Nevada).

The current practice location address for Boden James Port is 1800 W Charleston Blvd, Las Vegas, NV and can be reached out via phone at 702-383-2000.

Location: 1800 W Charleston Blvd, Las Vegas, NV, 37923-6398
person
Provider Profile Details
NPI Number
1003519919
Provider Name
Boden James Port
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1800 W Charleston Blvd, Las Vegas, NV, 37923-6398
Phone Number
702-383-2000
Fax Number
Provider Enumeration Date
03/22/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1800 W Charleston Blvd
City
State
Zip
89102-2329
Phone Number
702-383-2000
Fax Number
person
Provider Business Mailing Address Details
Address
1800 W Charleston Blvd
City
State
Zip
89102-2329
Phone Number
702-383-2000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
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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