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

BODAVULA MD LLC

Active Organization

BODAVULA MD LLC is a Clinic/Center organization located in CREVE COEUR, Missouri. NPI 1790183077 is currently active in the NPPES registry. Verify at CMS.

Clinic/Center · CREVE COEUR, MO

Registration Details

NPI Number
1790183077
Provider Type
Organization
NPI Issued
Dec 18, 2014 (11.68980622998 yrs)
Last Updated
Dec 18, 2014
License
2010007564 (MO)

Practice Information

Address
709 TURRENTINE TRL
CREVE COEUR, MO, 631416089
Browse MO providers · Browse ZIP 63141
Phone
9145632943
Primary Specialty
Clinic/Center
261Q00000X

Other Clinic/Center Organizations in CREVE COEUR, MO

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.