BODAVULA MD LLC

Clinic/Center

Active Organization
NPI: 1790183077

Practice Address

709 TURRENTINE TRL
Creve Coeur, MO 63141

Phone: (914) 563-2943

Specialties

Specialty Code Primary License
Clinic/Center 261Q00000X Yes 2010007564 (MO)

Frequently Asked Questions

NPI 1790183077 is the National Provider Identifier for BODAVULA MD LLC, a Clinic/Center provider located in Creve Coeur, MO. This NPI was enumerated on December 18, 2014.

Quick Facts

NPI
1790183077
Type
Organization
Enumerated
Dec 18, 2014
Last Updated
Dec 18, 2014

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