Individual
MRS. AMY JO ANGEL BODENSTEINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
80 AMHEARST BOULEVARD, SUITE 400, NASHUA, IA 50658-9712
(641) 435-4133
(641) 435-4003
Mailing address
312 NINTH ST SW, WAVERLY, IA 50677
(641) 435-4133
(641) 435-4003
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001543
IA
Other
Enumeration date
08/25/2006
Last updated
03/02/2009
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