Individual
DR. CLETUS GARY BODENSTEINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
230 HAEHL CREEK CT, WILLITS, CA 95490-5755
(707) 459-2708
(707) 459-2804
Mailing address
230 HAEHL CREEK CT, WILLITS, CA 95490-5755
(707) 459-2708
(707) 459-2804
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G24841
CA
Other
Enumeration date
01/21/2013
Last updated
01/21/2013
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