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Contact Information

WALTER BODJANAC, DO
6316 W UNION HILLS DR STE 200
GLENDALE, AZ85308-1001
 Phone: 480-905-8485
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for WALTER BODJANAC · (Male)

NPI Number 1376525188
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 11/17/2005
Last updated 06/28/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • OH License # 34-00-5512-B
  • OH Medicaid 0161355
  • OH Other 2171126 AETNA GOLDEN
  • OH Other 5489782 AETNA MGD CHOICE
  • OH Other 000000141877 ANTHEM
  • OH Other 1143537003 CIGNA
  • OH Other 91970 QUAL CHOICE
Hospital affiliation(s)
  • GALION COMMUNITY HOSPITAL - (Critical Access)
    269 PORTLAND WAY SOUTH
    GALION, OH 44833
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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