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Individual

DR. EUGENE T BODE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4401 WORNALL RD, ANESTHESIA DEPT, KANSAS CITY, MO 64111-3220
(816) 932-7940
(816) 932-7957
Mailing address
PO BOX 504407, SAINT LOUIS, MO 63150-4407
(816) 932-7940
(816) 932-7957

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
R4B26
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050063944
RR MEDICARE NUMBER
MO
01
09051014
BCBS NUMBER
MO
05
100119250B
MO
05
202259735
MO
Enumeration date
05/10/2006
Last updated
12/13/2013
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