Individual provider · Type 1 NPI
Alexia Louise Bodamer, DPM
Foot & Ankle Surgery Podiatrist · Lousiville, KY
NPI number
1780212688
Active
Practice location
142 Chenoweth Lane
Lousiville, KY 40207
Mailing address
2500 Starling St Ste 301
Brunswick, GA 31520-4268
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 263356 (KY) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
Foot & Ankle Surgery Podiatrist: Definition to come...
About NPI 1780212688
Alexia Louise Bodamer, DPM's National Provider Identifier is 1780212688, issued on Mar 28, 2020. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Lousiville, KY. The record was last updated on Jun 5, 2023.