NPI 1235103060
Marc E Boddicker, MD
Practice location
- Address
- 5410 Sheridan Lake Rd, Rapid City, SD 57702-9208
- Phone
- (605) 390-0900
- Mailing address
- PO Box 20528, Fountain Hills, AZ 85269-0528
Registered specialties (4)
Dermatology Physician
Primary
MOHS-Micrographic Surgery Physician
Dermatopathology Physician
Procedural Dermatology Physician
Registry record
- NPI
- 1235103060
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 16 Feb 2006
- Record last updated
- 11 Mar 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.