NPI
Justin Boudeman
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Type
- Individual
- Enumeration date
- 2018-07-13
- Last updated
- 2018-07-13
Specialties
Licenses
- License MO
- 2012026480
Location
- Practice location
- 3900 Vogel Rd
- City
- Arnold MO
- Postal code
- 63010-6204
- Phone
- (636) 282-7555
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Arnold, MO. 791 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.