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Dr. Myron A Bodman, DPM
Primary Podiatric Medicine Podiatrist in Fairview Park, Ohio
NPI 1316943970

Myron A Bodman is a Primary Podiatric Medicine Podiatrist based in Fairview Park, OH and is specialized in Primary Podiatric Medicine. Myron A Bodman practices in Fairview Park, OH and has the professional credentials of DPM. The NPI Number for Myron A Bodman is 1316943970 and holds a License No. 36-00-1747 (Ohio).

The current practice location address for Myron A Bodman is 21245 Lorain Rd, Fairview Park, OH and can be reached out via phone at 440-356-1989 and via fax at 440-356-5944.

Location: 21245 Lorain Rd, Fairview Park, OH, 44126-2140
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Provider Profile Details
NPI Number
1316943970
Provider Name
Myron A Bodman
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
21245 Lorain Rd, Fairview Park, OH, 44126-2140
Phone Number
440-356-1989
Fax Number
440-356-5944
Provider Enumeration Date
06/28/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0360041 05 OH
4800325161 01 OH RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
21245 Lorain Rd
City
State
Zip
44126-2140
Phone Number
440-356-1989
Fax Number
440-356-5944
person
Provider Business Mailing Address Details
Address
21245 Lorain Rd
City
State
Zip
44126-2140
Phone Number
440-356-1989
Fax Number
440-356-5944
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
License No.
36-00-1747 (Ohio)
Definition
Definition to come...
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