Individual
KATHERINE JANE BODIFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7260 HALCYON SUMMIT DR, MONTGOMERY, AL 36117-7047
(334) 277-3332
Mailing address
7260 HALCYON SUMMIT DR, MONTGOMERY, AL 36117-7047
(334) 277-3332
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
MD.35183
AL
207N00000X
Dermatology Physician
Primary
ME110933
FL
Other
Enumeration date
04/25/2010
Last updated
10/12/2020
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