Individual
DR. RICHARD MICHAEL BODOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3350 LA JOLLA VILLAGE DR, SECTION OF VA PLASTIC SURGERY, MAIL CODE 112K, SAN DIEGO, CA 92161-0001
(858) 642-3808
(858) 552-7530
Mailing address
3350 LA JOLLA VILLAGE DR, SECTION OF VA PLASTIC SURGERY, MAIL CODE 112K, SAN DIEGO, CA 92161-0001
(858) 642-3808
(858) 552-7530
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
A053083
CA
Other
Enumeration date
10/17/2006
Last updated
01/14/2010
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