Individual
DANIEL BODOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8 CADILLAC DRIVE, STE 200, BRENTWOOD, TN 37027
(615) 376-7500
(615) 376-7575
Mailing address
308 N PETERS RD, STE 225, KNOXVILLE, TN 37922
(865) 694-0062
(865) 694-7907
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
19195
MS
2085R0202X
Diagnostic Radiology Physician
5747
SD
2085R0202X
Diagnostic Radiology Physician
Primary
MD40490
TN
2085R0202X
Diagnostic Radiology Physician
ME66660
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3336382
—
TN
Enumeration date
03/27/2006
Last updated
03/26/2013
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