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Mr. Brett Boddicker
Student in an Organized Health Care Education/Training Program in Pella, Iowa
NPI 1588105597

Brett Boddicker is a Student in an Organized Health Care Education/Training Program based in Pella, IA. Brett Boddicker practices in Pella, IA. The NPI Number for Brett Boddicker is 1588105597 and holds a License No. 3727 (Iowa).

The current practice location address for Brett Boddicker is 812 University Street, Pella, IA and can be reached out via phone at 319-213-5124.

Location: 812 University Street, Pella, IA, 50219-1902
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588105597
Provider Name
Brett Boddicker
Credential
Provider Entity Type
Individual
Gender
Male
Address
812 University Street, Pella, IA, 50219-1902
Phone Number
319-213-5124
Fax Number
Provider Enumeration Date
03/10/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
812 University Street
City
Pella
State
Iowa
Zip
50219
Phone Number
319-213-5124
Fax Number
person
Provider Business Mailing Address Details
Address
812 University Street
City
Pella
State
Iowa
Zip
50219
Phone Number
319-213-5124
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
3727 (Iowa)
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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