Individual provider · Type 1 NPI

Tania Patricia Nisimblat Bodnar, MD

Obstetrics & Gynecology Physician · Park City, UT

NPI number 1750520201 Active

Practice location

900 Round Valley Dr Ste 200
Park City, UT 84060-7552

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Physician 207V00000X056880546 (CT)
Obstetrics & Gynecology Physician Primary 207V00000X10757475-1205 (UT)

Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

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About NPI 1750520201

Tania Patricia Nisimblat Bodnar, MD's National Provider Identifier is 1750520201, issued on Feb 6, 2009. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Park City, UT. The record was last updated on Nov 11, 2024.