Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. EDWARD JAMES BODMER, DPM
Active Sole ProprietorPodiatrist · GOLD CANYON, AZ
Registration Details
- NPI Number
- 1801882006
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 22, 2005 (20.613774385322 yrs)
- Last Updated
- Apr 19, 2018
- License
-
0152 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9765 E DEAD SURE PLGOLD CANYON, AZ, 852187176Browse AZ providers · Browse ZIP 85218
- Phone
- 4803633066
- Fax
- 4809838153
- Primary Specialty
-
Podiatrist
213E00000X
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.