Carl Jay Bodenstein MD

NPI 1811960156 - Pediatrics - 2080N0001X

NPI Details
NPI 1811960156
Gender Male
Enumeration Date 02/08/2006
Last Updated 12/21/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
105 W 8TH AVE
STE 336C
SPOKANE WA, 99204-2302, US
Phone (509) 455-8855
Fax (509) 455-8383
Business Location
105 W 8TH AVE
STE 336C
SPOKANE WA, 99204-2302, US
Phone (509) 455-8855
Fax (509) 455-8383
Toxanomy
Taxonomy Code 2080N0001X
License State Washington
License Number MD00020651
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According to our database, Dr. Carl Jay Bodenstein MD NPI is 1811960156, taxonomy code is 2080N0001X and license number is MD00020651, license state is located at Washington. Carl Jay Bodenstein MD physically located at 105 W 8th Ave, Spokane WA, 99204-2302. NPI Number Carl Jay Bodenstein MD has the Individual type.

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1811960156 NPI number is provided on an as is basis without warranty of any kind. 1811960156 is maintained by the National Plan & Provider Enumeration System. The contents of Carl Jay Bodenstein MD are for informational purposes only.