DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MYRON A BODMAN, DPM

Active Sole Proprietor

DR. MYRON A BODMAN, DPM is a Radiology Podiatrist healthcare provider located in FAIRVIEW PARK, Ohio. NPI 1316943970 is currently active in the NPPES registry. Verify at CMS.

Radiology Podiatrist · FAIRVIEW PARK, OH

Registration Details

NPI Number
1316943970
Provider Type
Individual
Gender
Male
NPI Issued
Jun 28, 2005 (21.130239252655 yrs)
Last Updated
Sep 17, 2012
License
36-00-1747 (OH)
Sole Proprietor
Yes

Practice Information

Address
21245 LORAIN RD
SUITE 115
FAIRVIEW PARK, OH, 441262140
Browse OH providers · Browse ZIP 44126
Phone
4403561989
Fax
4403565944
Primary Specialty
Radiology Podiatrist
213EP1101X

Other Radiology Podiatrist Providers in FAIRVIEW PARK, OH

Name Credential NPI
DR. MICHAEL JAMES BODMAN DPM 1386615144
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.