Edward James Bodmer in Gold Canyon - Podiatrist
Edward James Bodmer - NPI 1801882006
Edward James Bodmer is a Podiatrist in Gold Canyon, Arizona. Edward James Bodmer practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Edward James Bodmer is 1801882006. The last update date is 2018-04-19.
Edward James Bodmer's current location address is 6499 S Kings Ranch Rd, Gold Canyon, Arizona. You can contact this provider via phone number 4809828137 and fax number 4809838153. The mailing address for Edward James Bodmer is 6499 S Kings Ranch Rd, Gold Canyon, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edward James Bodmer |
|---|---|
| Address | 6499 S Kings Ranch Rd, Gold Canyon, Arizona |
| Phone Number | 4809828137 |
| Fax Number | 4809838153 |
| Sole Proprietor | Y |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1801882006 |
|---|---|
| Provider Enumeration Date | 2005-09-22 |
| Last Updated Date | 2018-04-19 |
Provider Mailing Address Detail
| Address | 6499 S Kings Ranch Rd |
|---|---|
| City | Gold Canyon |
| State | Arizona (AZ) |
| Post Code | 851182920 |
| Phone Number | 4809828137 |
| Fax Number | 4809838153 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 152 |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 118594 | AZ | MEDICARE GROUP |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Edward James Bodmer by the Centers for Medicare & Medicaid Services?
The Edward James Bodmer has been issued the NPI (National Provider Identifier) 1801882006 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Edward James Bodmer?
The Edward James Bodmer is situated at 6499 S Kings Ranch Rd, in the city of Gold Canyon, state of AZ, with the zip code 851182920.
What is the Edward James Bodmer's specialty and taxonomy code?
The Edward James Bodmer's specialty is Podiatrist, and the corresponding taxonomy code is 213E00000X.
When did the Edward James Bodmer receive its 1801882006?
The Edward James Bodmer was issued its 1801882006 on 2005-09-22, which is the date when the organization was assigned this unique identifier.
When was the information regarding Edward James Bodmer most recently updated?
The details pertaining to the Edward James Bodmer, including its address, specialty, and other relevant information, were last refreshed on 2018-04-19.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH