Individual
DR. MARKO V BODOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3421 VILLA LN, SUITE 2B, NAPA, CA 94558-6402
(707) 255-5454
(707) 255-5411
Mailing address
3010 BEARD RD, NAPA, CA 94558-3442
(707) 255-8825
(707) 252-9325
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
G63297
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G632970
—
CA
Enumeration date
07/17/2006
Last updated
01/11/2012
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