institution
E. James Bodmer, D.p.m., Pc
Health Service Clinic/Center in Gold Canyon, Arizona
NPI 1245423219

E. James Bodmer, D.p.m., Pc is a Health Service Clinic/Center based in Gold Canyon, AZ and is specialized in Health Service. E. James Bodmer, D.p.m., Pc practices in Gold Canyon, AZ. The NPI Number for E. James Bodmer, D.p.m., Pc is 1245423219 and holds a License No. 0152 (Arizona).

The current practice location address for E. James Bodmer, D.p.m., Pc is 9765 E Dead Sure Pl, Gold Canyon, AZ and can be reached out via phone at 480-363-3066.

Location: 9765 E Dead Sure Pl, Gold Canyon, AZ, 85218-7176
institution
Provider Profile Details
NPI Number
1245423219
Provider Name
E. James Bodmer, D.p.m., Pc
Credential
Provider Entity Type
Organization
Address
9765 E Dead Sure Pl, Gold Canyon, AZ, 85218-7176
Phone Number
480-363-3066
Fax Number
Provider Enumeration Date
08/23/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0152 01 AZ AZ LICENSE
institution
Provider Business Practice Location Address Details
Address
9765 E Dead Sure Pl
City
State
Zip
85218-7176
Phone Number
480-363-3066
Fax Number
person
Provider Business Mailing Address Details
Address
9765 E Dead Sure Pl
City
State
Zip
85218-7176
Phone Number
480-363-3066
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
License No.
0152 (Arizona)
Definition
Definition to come...
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