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Individual

DR. FORREST BODILY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1000 E 100 N, PAYSON, UT 84651-1600
(801) 465-7041
(801) 465-7409
Mailing address
PO BOX 742353, ATLANTA, GA 30374-2353

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
14038612-1205
UT
2084P0800X
Psychiatry Physician
ME158346
FL

Other

Enumeration date
03/31/2020
Last updated
08/14/2024
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