Individual
GUY BODFISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DAOM, L.AC.
Contact information
Practice address
1905 W SUSSEX AVE, MISSOULA, MT 59801-6533
(406) 240-4545
Mailing address
1905 W SUSSEX AVE, MISSOULA, MT 59801-6533
(406) 240-4545
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
124
MT
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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