BODAVULA MD LLC

CREVE COEUR, MO
NPI1790183077
Entity TypeOrganization
Authorized ContactVENKATA KR BODAVULA
Surgeon
914-563-2943
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
(Licence: MO  2010007564)
Enumeration Date2014-12-18
Last Update Date2014-12-18
Business Address
BODAVULA MD LLC
709 TURRENTINE TRL
CREVE COEUR, MO 63141-6089
Phone number: 914-563-2943
Mailing Address
BODAVULA MD LLC
709 TURRENTINE TRL
CREVE COEUR, MO 63141-6089
Phone number: 914-563-2943
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