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1033147129
MARK N BODILY
SPRINGFIELD, OR
NPI
1033147129
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: OR MD16190)
Enumeration Date
2006-06-29
Last Update Date
2012-06-08
Business Address
-- MARK N BODILY MD
3333 RIVERBEND DR
SPRINGFIELD, OR 97477-8800
Phone number: 541-222-3154
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Mailing Address
-- MARK N BODILY MD
PO BOX 7247
SPRINGFIELD, OR 97475-0011
Phone number: 541-686-9551
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