Individual
ROBERT B. BODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1471 CHESTER BLVD STE A, RICHMOND, IN 47374-1919
(765) 935-4088
(765) 966-2596
Mailing address
1100 REID PKWY, MEDICAL STAFF SERVICES, RICHMOND, IN 47374-1157
(765) 935-4088
(765) 966-2596
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01036318A
IN
207RI0200X
Infectious Disease Physician
01036318A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000676852
ANTHEM (RPA)
IN
05
—
200007930
—
IN
Enumeration date
08/09/2006
Last updated
01/24/2017
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