Individual
DR. FREDERICK EARL BODENHAMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3238 WEST TRUMAN BOULEVARD, JEFFERSON CITY, MO 65109-2936
(573) 635-2020
(573) 635-7840
Mailing address
3238 W TRUMAN BLVD, JEFFERSON CITY, MO 65109-5708
(573) 636-3882
(573) 635-7840
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T02261
MO
Other
Enumeration date
02/25/2007
Last updated
12/30/2014
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