Individual provider · Type 1 NPI

William Bodine, PA-C

Medical Physician Assistant · Lafayette, IN

NPI number 1114332459 Active

Practice location

1701 S Creasy Ln
Lafayette, IN 47905-4972

Call (765) 502-4000 Map

Mailing address

1040 Sierra Dr, Ste 400
Greenwood, IN 46143-7241

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X10001661A (IN)

Medical Physician Assistant: Definition to come...

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About NPI 1114332459

William Bodine, PA-C's National Provider Identifier is 1114332459, issued on Jun 25, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lafayette, IN. The record was last updated on Jun 28, 2016.