Individual
JEFFREY BODNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-1000
Mailing address
12 BRITTANY WAY NE, ATLANTA, GA 30324-2962
(803) 640-3591
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
76000
AZ
Other
Enumeration date
03/21/2019
Last updated
06/11/2025
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