Organization
GREGORY A BODE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY A BODE DO (PHYSICIAN)
(623) 561-7140
Entity
Organization
Contact information
Practice address
18700 N 64TH DR, SUITE 108, GLENDALE, AZ 85308-7109
(623) 561-7140
Mailing address
18700 N 64TH DR, SUITE 108, GLENDALE, AZ 85308-7109
(623) 561-7140
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3615
AZ
Other
Enumeration date
09/11/2008
Last updated
08/28/2009
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