Individual
BRETT MATTHEW BODMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2960 W ENON RD, XENIA, OH 45385-8548
(937) 272-4925
Mailing address
2960 W ENON RD, XENIA, OH 45385-8548
(937) 272-4925
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
OH
Other
Enumeration date
01/05/2026
Last updated
01/05/2026
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