Dr. Boden James Port, DO
General Practice
NPI: 1003519919 Wyoming
67/100
Fair — Verify Details
Trust Score based on license status, disciplinary record, board certification, experience, and data freshness.
Score Breakdown
License Status15/30
unknown
Disciplinary Record25/25
0 action(s)
Board Certification15/20
Not verified
Years in Practice6/15
3 years
Data Freshness6/10
Updated 436 days ago
License Status
State board license data has not yet been verified for this provider. The Trust Score currently reflects NPPES data only.
State board verification is being rolled out state by state.
Practice Information
- Address
- 6900 ALDEN DR BLDG 160
- FE WARREN AFB, WY 82005
- Phone
- (307) 773-3039
- In Practice Since
- March 22, 2023
- Data Last Updated
- April 21, 2025
NPI Details
- NPI Number
- 1003519919
- Status
- Active
- Taxonomy Code
- 208D00000X
Data sourced from CMS NPPES public database. Last verified: April 21, 2025.
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