Individual
DR. JESSICA LYNN BODEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4824 E BASELINE RD STE 125, MESA, AZ 85206-4679
(480) 839-4848
(480) 833-8310
Mailing address
2108 E THOMAS RD STE 130, PHOENIX, AZ 85016-0008
(602) 933-3124
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
59850
TN
208000000X
Pediatrics Physician
Primary
70030
AZ
2080P0207X
Pediatric Hematology & Oncology Physician
70030
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142382
—
AZ
Enumeration date
04/19/2016
Last updated
05/20/2025
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