JASON KRISTOPHER BODNER

WINSTON SALEM, NC
NPI1801819040
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NC  0010-04142)
Enumeration Date2006-07-26
Last Update Date2017-03-06
Business Address
-- JASON KRISTOPHER BODNER PA-C
140 KIMEL PARK DR
WINSTON SALEM, NC 27103-6160
Phone number: 336-245-2100
Mailing Address
-- JASON KRISTOPHER BODNER PA-C
PO BOX 60447
CHARLOTTE, NC 28260-0447
Phone number: 336-245-2100
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