Gary L Bodiford M.D.

NPI 1043380587 - Ophthalmology - 207W00000X

NPI Details
NPI 1043380587
Gender Male
Enumeration Date 11/09/2006
Last Updated 01/22/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
2000 W MORTON AVE
JACKSONVILLE IL, 62650-2623, US
Phone (217) 245-6814
Fax (217) 245-0375
Business Location
2000 W MORTON AVE
JACKSONVILLE IL, 62650-2623, US
Phone (217) 245-6814
Fax (217) 245-0375
Toxanomy
Taxonomy Code 207W00000X
License State Illinois
License Number 036-137117
Remove 1043380587 NPI Number
 

According to our database, Gary L Bodiford M.D. NPI is 1043380587, taxonomy code is 207W00000X and license number is 036-137117, license state is located at Illinois. Gary L Bodiford M.D. physically located at 2000 W Morton Ave, Jacksonville IL, 62650-2623. NPI Number Gary L Bodiford M.D. has the Individual type.

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1043380587 NPI number is provided on an as is basis without warranty of any kind. 1043380587 is maintained by the National Plan & Provider Enumeration System. The contents of Gary L Bodiford M.D. are for informational purposes only.