Individual
MICHAEL G BODNAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 ROLLING OAKS DR STE 200, THOUSAND OAKS, CA 91361-1010
(805) 497-7529
(805) 494-3486
Mailing address
2285 CORPORATE CIR, STE 200, HENDERSON, NV 89074-7759
(702) 360-2763
(949) 783-2880
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A00064258
CA
Other
Enumeration date
07/31/2006
Last updated
09/30/2020
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