IndividualActive
Stephen Boden, M.D.
NPI 1700878691 · Allergy & Immunology Physician · Bountiful, UT
Provider details
- NPI number
- 1700878691
- Entity type
- Individual
- Primary specialty
- Allergy & Immunology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 12974480-1205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
390 N Main St
Bountiful, UT 84010-6046
Phone: (801) 397-6300
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 27128
Slc, UT 84127-0128
Registry dates
- Enumerated
- 2005-08-17
- Last updated
- 2023-03-01
- Certified
- 2023-03-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.