Individual
CHRISTOPHER BODLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 HOSPITAL DR, KETCHUM, ID 83340
(208) 727-8100
(208) 727-8124
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
76945
GA
207P00000X
Emergency Medicine Physician
Primary
M-15238
ID
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2014
Last updated
12/24/2024
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