Search › Tennessee › 208D00000X
Thomas Boduch, M.D
NPI 1770588741 · on the registry since 2005 · sole proprietor
Practice
- Address
- 314 E Spring St
Kingston, TN 37763 - Phone
- (865) 376-1212
- Fax
- (865) 376-0010
Registry record
- Primary taxonomy
- 208D00000X
208D00000X
- Also registered as
- 207Q00000X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-01-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee