Organization
STEPHEN L BODEMANN M.D. LTD
Active
Parent organization
STEPHEN L BODEMANN M.D. LTD
Other names
Stephen L Bodemann M.D.
Organization subpart
Yes
Provider details
NPI number
Legal business name
STEPHEN L BODEMANN M.D. LTD
Authorized official
STEPHEN L BODEMANN M.D. (PRESIDENT)
(501) 520-7731
Entity
Organization
Contact information
Practice address
1636 HIGDON FERRY ROAD, HOT SPRINGS, AR 71913
(501) 651-2000
(501) 651-2391
Mailing address
229 FOREST HEIGHTS TR, HOT SPRINGS, AR 71901
(501) 262-1041
(501) 651-2384
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102441001
—
AR
Enumeration date
04/03/2019
Last updated
04/03/2019
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