Individual
STEPHAN JOHN BODNAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7101 JAHNKE RD, RICHMOND, VA 23225-4017
(804) 483-0000
Mailing address
2114 WINNWOOD RD, HENRICO, VA 23228-6046
(313) 580-1040
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
296000
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
0024180046
VA
Other
Enumeration date
07/29/2020
Last updated
01/02/2026
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