Individual
DR. AYMAN SEAN BODAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9040A JACKSON AVE, JOINT BASE LEWIS MCCHORD, WA 98431-0004
(253) 968-1110
Mailing address
9040A JACKSON AVE, JOINT BASE LEWIS MCCHORD, WA 98431-0001
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
0101270892
VA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
0101270892
VA
Other
Enumeration date
06/02/2019
Last updated
07/29/2024
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