Individual
CHRISTOPHER H BODILY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
400 ROSALIND REDFERN GROVER PKWY, MIDLAND, TX 79701-5846
(360) 791-7626
Mailing address
5004 KING RICHARDS ROW, MIDLAND, TX 79707-1577
(360) 791-7626
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA06676
TX
Other
Enumeration date
02/24/2010
Last updated
05/28/2014
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