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1780600312
KURT O BODILY
PROVO, UT
NPI
1780600312
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RG0100X Internal Medicine, Gastroenterology
(Licence: UT 322494-1205)
Enumeration Date
2006-07-15
Last Update Date
2024-04-22
Business Address
KURT O BODILY MD
1055 N 500 W STE 100
PROVO, UT 84604-3305
Phone number: 801-374-1268
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Mailing Address
KURT O BODILY MD
1055 N 500 W ATTN: CREDENTIALING
PROVO, UT 84604-3305
Phone number: 801-354-8225
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