Individual
DR. JONATHAN A BODINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
401 S ALABAMA ST, STE 3B, BUTTE, MT 59701-2315
(406) 723-4312
(406) 723-4316
Mailing address
401 S ALABAMA ST, BUTTE, MT 59701-2315
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
10364
MT
207R00000X
Internal Medicine Physician
O-1460
ID
207R00000X
Internal Medicine Physician
Primary
OP60662799
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0153179
—
MT
Enumeration date
05/17/2006
Last updated
05/23/2023
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