Individual
ANDREW ALLEN BODLAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
777 BANNOCK ST, DENVER, CO 80204-4597
(303) 436-6000
Mailing address
1890 N REVERE CT MS F546, PSYCHIATRY RESIDENCY, AURORA, CO 80045-7464
(303) 724-6021
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/01/2024
Last updated
04/22/2024
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