Individual
SCOTT DANIEL BODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2204 IRONWOOD PL, STE B, COEUR D ALENE, ID 83814-2662
(208) 765-8585
Mailing address
212 W IRONWOOD DR, STE D #287, COEUR D ALENE, ID 83814-1403
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
M12353
ID
Other
Enumeration date
08/25/2009
Last updated
06/03/2014
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