Gayle B Bodner in Phoenix - Physician Assistant
Gayle B Bodner - NPI 1538246988
Gayle B Bodner is a Physician Assistant in Phoenix, Arizona. Gayle B Bodner practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Gayle B Bodner is 1538246988. The last update date is 2016-07-27.
Gayle B Bodner's current location address is 5779 E Mayo Blvd, Phoenix, Arizona. You can contact this provider via phone number 4803018000. The mailing address for Gayle B Bodner is 5779 E Mayo Blvd, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gayle B Bodner |
|---|---|
| Address | 5779 E Mayo Blvd, Phoenix, Arizona |
| Phone Number | 4803018000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1538246988 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2016-07-27 |
Provider Mailing Address Detail
| Address | 5779 E Mayo Blvd |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850544502 |
| Phone Number | 4803018000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 0010-04233 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 539124 | AZ | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Gayle B Bodner by the Centers for Medicare & Medicaid Services (CMS)?
The Gayle B Bodner has been assigned the NPI (National Provider Identifier) 1538246988. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Gayle B Bodner's facilities are geographically located?
The facilities of Gayle B Bodner are physically situated at the following location: 5779 E Mayo Blvd, Phoenix, AZ, 850544502.
What is Gayle B Bodner's area of expertise and its corresponding taxonomy classification?
The Gayle B Bodner's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
On what date did Gayle B Bodner receive its 1538246988 assignment from the Centers for Medicare & Medicaid Services?
The Gayle B Bodner was assigned its 1538246988 on 2006-11-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Gayle B Bodner's information last updated?
The Gayle B Bodner's information was last updated on 2016-07-27.