DR. THOMAS BODUCH, M.D.

General Practice

Active Individual
NPI: 1770588741

Practice Address

314 E SPRING ST
Kingston, TN 37763

Phone: (865) 376-1212

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X No 14330 (TN)
General Practice 208D00000X Yes MD0000014330 (TN)

Frequently Asked Questions

NPI 1770588741 is the National Provider Identifier for DR. THOMAS BODUCH, M.D., a General Practice provider located in Kingston, TN. This NPI was enumerated on June 16, 2005.
DR. THOMAS BODUCH, M.D. practices at 314 E SPRING ST, Kingston, TN 37763.

Quick Facts

NPI
1770588741
Type
Individual
Enumerated
Jun 16, 2005
Last Updated
Jan 10, 2012

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