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Individual

DR. ANNA S BODNAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MEDICAL DOCTOR

Contact information

Practice address
44 N MEDICAL DR, SALT LAKE CITY, UT 84113-1105
(801) 842-3672
(801) 584-8242
Mailing address
6126 OAK CANYON DR, SALT LAKE CITY, UT 84121-6344
(801) 584-8252

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
152783-1205
UT

Other

Enumeration date
01/12/2007
Last updated
07/08/2007
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