Individual
JOHN NICHOLAS BODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
17 W BOCA RATON RD, PHOENIX, AZ 85023-6210
(602) 548-7010
(602) 548-7020
Mailing address
17 W BOCA RATON RD, PHOENIX, AZ 85023-6210
(602) 548-7010
(602) 548-7020
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
1523
AZ
Other
Enumeration date
04/14/2006
Last updated
01/28/2011
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