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Individual

DR. YVONNE MIYA BODEMANN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
835 E 18TH AVE STE 110, DENVER, CO 80218
(303) 825-4646
(303) 825-3215
Mailing address
5920 MCINTYRE ST, GOLDEN, CO 80403-7445
(720) 434-4876
(303) 225-4246

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
56311
CO
208M00000X
Hospitalist Physician
56311
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
029133
KAISER COMMERCIAL NUMBER
CO
05
9000148552
CO
Enumeration date
06/26/2014
Last updated
10/20/2020
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