Individual
DR. DIANE KAY BODEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1662 HIGDON FERRY RD, SUITE 200, HOT SPRINGS, AR 71913-6912
(501) 623-2781
(501) 623-1774
Mailing address
PO BOX 21850, HOT SPRINGS, AR 71903-1850
(501) 623-2781
(501) 623-1774
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
N7441
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114598001
—
AR
Enumeration date
04/10/2006
Last updated
06/28/2016
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