Individual
ERIK R BODTKER
Active
Individual
ERIK R BODTKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
8414
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000091916
BLUE CROSS OF MONTANA
MT
05
—
0148772
—
MT
05
—
071292
—
AZ
05
—
1225054695
—
UT
01
—
134310888
NEW WEST & HLTH CONNECT
MT
01
—
1343108880000
CHAMPUS
MT
05
—
67432514
—
NM
01
—
P01790452
RAILROAD MEDICARE
NM
Enumeration date
07/15/2006
Last updated
04/27/2017
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