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

DR. TANIA PATRICIA NISIMBLAT BODNAR, M.D.

Active Sole Proprietor

DR. TANIA PATRICIA NISIMBLAT BODNAR, M.D. is a Obstetrics & Gynecology healthcare provider located in PARK CITY, Utah. NPI 1750520201 is currently active in the NPPES registry. Verify at CMS.

Obstetrics & Gynecology · PARK CITY, UT

Registration Details

NPI Number
1750520201
Provider Type
Individual
Gender
Female
NPI Issued
Feb 6, 2009 (17.522742892326 yrs)
Last Updated
Nov 11, 2024
Licenses
056880546 (CT)
10757475-1205 (UT)
Sole Proprietor
Yes

Practice Information

Address
900 ROUND VALLEY DR STE 200
PARK CITY, UT, 840607552
Browse UT providers · Browse ZIP 84060
Phone
4356587400
Primary Specialty
Obstetrics & Gynecology
207V00000X
Additional Specialty
Obstetrics & Gynecology

Other Obstetrics & Gynecology Providers in PARK CITY, UT

Name Credential NPI
JEANNE M FALK MD 1588673974
CHAD JEREMY CLARK D.O. 1346339496
MRS. ROBIN LYNN HOUPE MD 1285843607
DR. LAUREN ASHLEY WELLS MD 1851534374
DR. FELICIA R KATZ M.D. 1265744882
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.