institution
Bodavula Md Llc
Clinic/Center in Creve Coeur, Missouri
NPI 1790183077

Bodavula Md Llc is a Clinic/Center based in Creve Coeur, MO. Bodavula Md Llc practices in Creve Coeur, MO. The NPI Number for Bodavula Md Llc is 1790183077 and holds a License No. 2010007564 (Missouri).

The current practice location address for Bodavula Md Llc is 709 Turrentine Trl, Creve Coeur, MO and can be reached out via phone at 914-563-2943.

Location: 709 Turrentine Trl, Creve Coeur, MO, 63141-6089
institution
Provider Profile Details
NPI Number
1790183077
Provider Name
Bodavula Md Llc
Credential
Provider Entity Type
Organization
Address
709 Turrentine Trl, Creve Coeur, MO, 63141-6089
Phone Number
914-563-2943
Fax Number
Provider Enumeration Date
12/18/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
709 Turrentine Trl
City
State
Zip
63141-6089
Phone Number
914-563-2943
Fax Number
person
Provider Business Mailing Address Details
Address
709 Turrentine Trl
City
State
Zip
63141-6089
Phone Number
914-563-2943
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
License No.
2010007564 (Missouri)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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