Individual
DR. BRET ALLEN BODENHAMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3238 W TRUMAN BLVD, JEFFERSON CITY, MO 65109-5708
(573) 635-2020
Mailing address
3238 W TRUMAN BLVD, JEFFERSON CITY, MO 65109-5708
(573) 635-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2010026679
MO
Other
Enumeration date
08/05/2010
Last updated
07/03/2014
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