Individual provider · Type 1 NPI
John Richardson Bodenhamer, MD
Diagnostic Radiology Physician · Fort Collins, CO
NPI number
1669497301
Active
Practice location
1001 Belvedere Ct
Fort Collins, CO 80525-6706
Fax (612) 294-4903
Mailing address
11995 Singletree Ln Ste 500
Eden Prairie, MN 55344-5349
Other practice locations
- 2008 Caribou Dr, Fort Collins, CO 80525-4325 · (970) 484-4757
- 1024 S Lemay Ave, Fort Collins, CO 80524-3929 · (970) 495-7000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician Primary | 2085R0202X | DR.0031833 (CO) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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About NPI 1669497301
John Richardson Bodenhamer, MD's National Provider Identifier is 1669497301, issued on Jul 13, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Fort Collins, CO. The record was last updated on Dec 11, 2020.