Individual
MRS. CHRISTINE SIRNA BODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
42D MEDICAL GROUP, 300 TWINING ST BLDG 760, MAXWELL AFB, AL 36112
(334) 953-3368
(334) 953-8607
Mailing address
UNIT 3690, APO, AE 09126-3690
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6118
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/17/2014
Last updated
09/20/2019
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