Organization
PREMIUM PEDIATRICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAN G. BODEANU MD (PHYSICIAN AND OWNER)
(270) 789-4788
Entity
Organization
Contact information
Practice address
307 E BROADWAY ST, CAMPBELLSVILLE, KY 42718-2003
(270) 789-4788
(270) 572-4227
Mailing address
307 E BROADWAY ST, CAMPBELLSVILLE, KY 42718-2003
(270) 789-4788
(270) 572-4227
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50013851
PASSPORT
KY
05
—
64128457
—
KY
Enumeration date
11/28/2006
Last updated
08/11/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us