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1275714784
VENKATA KR BODAVULA
SAINT PETERS, MO
NPI
1275714784
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2086S0105X Surgery Surgery of the Hand
(Licence: MO 2010007564)
Enumeration Date
2007-11-27
Last Update Date
2021-03-09
Business Address
DR. VENKATA KR BODAVULA MD
5600 MEXICO RD STE 21
SAINT PETERS, MO 63376-1660
Phone number: 636-373-9882
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Mailing Address
DR. VENKATA KR BODAVULA MD
3394 MCKELVEY RD STE 115
BRIDGETON, MO 63044-2531
Phone number: 636-373-9882
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