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Individual

PHILLIP BODNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
6200 N LA CHOLLA BLVD, TUCSON, AZ 85741-3529
(520) 742-9000
Mailing address
660 NW 155TH TER, PEMBROKE PINES, FL 33028-1505
(954) 681-3998

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
243999
AZ

Other

Enumeration date
02/25/2022
Last updated
04/22/2026
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