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Dr. David J Bodkin, MD
Hematology & Oncology Physician in La Mesa, California
NPI 1134280605

David J Bodkin is a Hematology & Oncology Physician based in La Mesa, CA and is specialized in Hematology & Oncology. David J Bodkin practices in La Mesa, CA and has the professional credentials of MD. The NPI Number for David J Bodkin is 1134280605 and holds a License No. G62107 (California).

The current practice location address for David J Bodkin is 5555 Grossmont Center Dr, La Mesa, CA and can be reached out via phone at 619-644-3030 and via fax at 619-644-3438.

Location: 5555 Grossmont Center Dr, La Mesa, CA, 91942-3019
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Provider Profile Details
NPI Number
1134280605
Provider Name
David J Bodkin
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5555 Grossmont Center Dr, La Mesa, CA, 91942-3019
Phone Number
619-644-3030
Fax Number
619-644-3438
Provider Enumeration Date
12/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
G62107 01 CA CALIFORNIA STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
5555 Grossmont Center Dr
City
State
Zip
91942-3019
Phone Number
619-644-3030
Fax Number
619-644-3438
person
Provider Business Mailing Address Details
Address
5555 Grossmont Center Dr
City
State
Zip
91942-3019
Phone Number
619-644-3030
Fax Number
619-644-3438
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
License No.
G62107 (California)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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