Individual
TRUSTON BODINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
411 LAUREL ST STE C100, DES MOINES, IA 50314-3026
(515) 643-8780
(515) 643-8962
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 643-8780
(515) 643-8962
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD-51471
IA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/06/2018
Last updated
08/18/2023
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