Individual
DR. THOMAS LEO BODENSTEINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4021 S 700 E, SUITE 300, SALT LAKE CITY, UT 84107-2192
(800) 328-3067
Mailing address
7542 UPTON GREY LN, LINCOLN, NE 68516-5694
(402) 328-8135
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
11737
NE
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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