# KEITH O BODRERO DO PC DBA POWERS MEDICAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477608891
- **Authorized official:** MRS. DANA CHERRY (OFFICE MANAGER)
- **Authorized official phone:** (719) 550-9100

## Contact information

- **Practice address:** 6080 N CAREFREE CIR, COLORADO SPRINGS, CO 80922-2402
- **Practice address phone:** (719) 550-9100
- **Practice address fax:** (719) 380-0384
- **Mailing address:** 6080 N CAREFREE CIR, COLORADO SPRINGS, CO 80922-2402
- **Mailing address phone:** (719) 550-9100
- **Mailing address fax:** (719) 380-0384

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 32687 | CO | Yes |

## Other

- **Enumeration date:** 01/24/2007
- **Last updated:** 01/23/2013