Organization
PETER R. BODNAR, M.D. PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER BODNAR M.D. (MANAGER)
(520) 333-7723
Entity
Organization
Contact information
Practice address
6544 E CARONDELET DR, TUCSON, AZ 85710-2117
(520) 333-7723
(520) 333-3113
Mailing address
6544 E CARONDELET DR, TUCSON, AZ 85710-2117
(520) 333-7723
(520) 333-3113
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
25515
AZ
208VP0014X
Interventional Pain Medicine Physician
25515
AZ
Other
Enumeration date
07/25/2011
Last updated
01/26/2022
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