Individual
DR. NEIL CLAYTON BODICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8517 OAKMONT LN, INDIANAPOLIS, IN 46260-5340
(317) 251-6092
Mailing address
8517 OAKMONT LN, INDIANAPOLIS, IN 46260-5340
(317) 251-6092
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01042005A
IN
207QA0505X
Adult Medicine Physician
Primary
01042005A
IN
Other
Enumeration date
07/14/2008
Last updated
07/14/2008
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