Individual
STEPHEN ANTHONY BODNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1263 HOSPITAL DR NW STE 270, CORYDON, IN 47112-2178
(812) 738-4251
(812) 738-7833
Mailing address
PO BOX 38, CORYDON, IN 47112-0038
(812) 738-7830
(812) 738-7833
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01035411A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000066301
ANTHEM
IN
05
—
200197780
—
IN
Enumeration date
10/11/2005
Last updated
12/29/2020
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