Organization · Type 2 NPI
E. James Bodmer, D.p.m., PC
Health Service Clinic/Center · Gold Canyon, AZ
NPI number
1245423219
Active
Practice location
9765 E Dead Sure Pl
Gold Canyon, AZ 85218-7176
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | 0152 (AZ) |
Health Service Clinic/Center: Definition to come...
Another provider at this address
About NPI 1245423219
E. James Bodmer, D.p.m., PC's National Provider Identifier is 1245423219, issued on Aug 23, 2007. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Gold Canyon, AZ. The record was last updated on Aug 23, 2007.