E. JAMES BODMER, D.P.M., PC; NPI #1245423219

Contact Information

E. JAMES BODMER, D.P.M., PC

9765 E DEAD SURE PL
GOLD CANYON, AZ 85218-7176

Phone: 480-363-3066
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Health Service	261QH0100X

Indicates primary specialty

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NPI Profile & details for E. JAMES BODMER, D.P.M., PC

NPI Number 1245423219

LBN Legal business name E. JAMES BODMER, D.P.M., PC

Authorized official EDWARD BODMER - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/23/2007

Last updated 08/23/2007 - About 19 years ago

Identifiers

AZ	License #	0152
AZ	Other	0152	AZ LICENSE

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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