Individual
JOHN RICHARDSON BODENHAMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 BELVEDERE CT, FORT COLLINS, CO 80525-6706
(952) 595-1100
(612) 294-4903
Mailing address
11995 SINGLETREE LN STE 500, EDEN PRAIRIE, MN 55344-5349
(952) 595-1301
(612) 294-4903
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
DR.0031833
CO
Other
Enumeration date
07/13/2006
Last updated
12/11/2020
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