Provider Demographics
NPI:1265796270
Name:BODDY, CRAIG STEPHEN (MD)
Entity type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:STEPHEN
Last Name:BODDY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:888 S KING ST
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-3097
Mailing Address - Country:US
Mailing Address - Phone:808-522-4333
Mailing Address - Fax:808-522-4334
Practice Address - Street 1:888 S KING ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813
Practice Address - Country:US
Practice Address - Phone:808-522-4333
Practice Address - Fax:808-522-4334
Is Sole Proprietor?:No
Enumeration Date:2012-06-25
Last Update Date:2018-07-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
HIMD-19733207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology