| Gregory A Bode Llc | |
|
18700 N 64th Dr Suite 108 Glendale AZ 85308-7109 | |
| (623) 561-7140 | |
| Not Available |
| Full Name | Gregory A Bode Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 18700 N 64th Dr, Glendale, Arizona |
| Authorized Official Name and Position | Gregory A Bode (PHYSICIAN) |
| Authorized Official Contact | 6235617140 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory A Bode Llc 18700 N 64th Dr Suite 108 Glendale AZ 85308-7109 Ph: (623) 561-7140 | Gregory A Bode Llc 18700 N 64th Dr Suite 108 Glendale AZ 85308-7109 Ph: (623) 561-7140 |
| NPI Number | 1841449188 |
|---|---|
| Provider Enumeration Date | 09/11/2008 |
| Last Update Date | 08/28/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841449188 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 3615 (Arizona) | Primary |
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