Individual
DR. WALTER BODJANAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6316 W UNION HILLS DR STE 200, GLENDALE, AZ 85308-1001
(480) 905-8485
Mailing address
700 N COLUMBUS ST, CRESTLINE, OH 44827-1455
(419) 468-0522
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
34-00-5512-B
OH
208600000X
Surgery Physician
34-00-5512-B
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000141877
ANTHEM
OH
05
—
0161355
—
OH
01
—
1143537003
CIGNA
OH
01
—
2171126
AETNA GOLDEN
OH
01
—
5489782
AETNA MGD CHOICE
OH
01
—
91970
QUAL CHOICE
OH
Enumeration date
11/17/2005
Last updated
06/28/2024
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