Individual
MR. DANIEL JOSEPH BODNAR JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1010 LIGONIER ST STE 1, LATROBE, PA 15650-1847
(172) 453-7073
(724) 537-0860
Mailing address
1010 LIGONIER ST STE 1, LATROBE, PA 15650-1847
(724) 537-0733
(724) 537-0860
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS021218
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/13/2018
Last updated
08/23/2021
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