Individual
DR. ETHAN EMMET BODLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H
Contact information
Practice address
280 W MACARTHUR BLVD, DEPARTMENT OF EMERGENCY MEDICINE, OAKLAND, CA 94611-5642
(510) 752-7515
Mailing address
280 W MACARTHUR BLVD, DEPARTMENT OF EMERGENCY MEDICINE, OAKLAND, CA 94611-5642
(510) 752-7515
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A100979
CA
Other
Enumeration date
12/06/2007
Last updated
12/14/2021
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