| NPI | 1598178352 |
|---|---|
| Other Name | BRYCE BODELL |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: WI 67931) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 67931-20) |
| 208600000X Surgery (Licence: AZ R74636) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL.000865) | |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2022-10-11 |