Individual
DR. MARK ELDEN BODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
9480 BRIAR VILLAGE PT, SUITE 200, COLORADO SPRINGS, CO 80920-7922
(719) 278-3627
(719) 623-2101
Mailing address
9480 BRIAR VILLAGE PT, SUITE 200, COLORADO SPRINGS, CO 80920-7922
(719) 278-3627
(719) 623-2101
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37981
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
98172549
—
CO
Enumeration date
08/05/2006
Last updated
04/24/2014
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