Individual
EMILY JANE BODFISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1204 N MAIN ST, MARION, VA 24354-4312
(276) 783-2511
Mailing address
171 HUTTON ST APT 7, ABINGDON, VA 24210-3492
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110-006874
VA
Other
Enumeration date
09/06/2019
Last updated
01/02/2020
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