Individual
MR. BRETT BODDICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
812 UNIVERSITY STREET, PELLA, IA 50219
(319) 213-5124
Mailing address
812 UNIVERSITY ST, PELLA, IA 50219-1902
(319) 213-5124
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
3727
IA
Other
Enumeration date
03/10/2017
Last updated
03/10/2017
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