Individual provider · Type 1 NPI

Susan K. Bodtke, MD

Adult Medicine Physician · San Diego, CA

NPI number 1871729962 Active

Practice location

4311 3rd Ave
San Diego, CA 92103-1407

Call (619) 688-1600 Map

Fax (619) 688-3099

Specialties and licenses

TaxonomyCodeLicense
Adult Medicine Physician Primary 207QA0505XG88460 (CA)

Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.

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About NPI 1871729962

Susan K. Bodtke, MD's National Provider Identifier is 1871729962, issued on Jun 3, 2009. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in San Diego, CA. The record was last updated on Mar 1, 2013.