NPI Search for Physicians and Health Care Providers
DR. MATTHEW S BODNER MD
>> Anesthesiology >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1164449674
Individual Registrant:
DR. MATTHEW S BODNER MD
Gender: M
Sole Proprietor
Location and contact information for practice:
5 GILMER PKWY SUITE 1 TALLASSEE, AL 36078-1215 US
Tel: 334-731-4500 Fax: --
Contact information for business:
5 GILMER PKWY SUITE 1 TALLASSEE, AL 36078-1215 US
Tel: 334-731-4500 Fax: --
Registration Information:
NPI: 1164449674
Entity Type: Individual
Specialty information:
Primary | Code | Category/Description | State | License Number |
---|
N | 207L00000X | Allopathic & Osteopathic Physicians Anesthesiology
| MO | R5J60 |
Y | 207L00000X | Allopathic & Osteopathic Physicians Anesthesiology | AL | 10657 |
N | 207L00000X | Allopathic & Osteopathic Physicians Anesthesiology | WI | 50121-20 |
Legacy codes, insurance codes and state license numbers:
Issuer | Number | State | Type |
---|
| 202646105 | MO | 05 |
HEALTH CARE JOBS AL - Page 1