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1831138239
GREGORY ALAN BODE
PHOENIX, AZ
NPI
1831138239
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AZ 3615)
Enumeration Date
2006-06-05
Last Update Date
2013-09-24
Business Address
Dr. GREGORY ALAN BODE DO
19636 N 27TH AVE SUITE 308
PHOENIX, AZ 85027-4013
Phone number: 623-780-1999
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Mailing Address
Dr. GREGORY ALAN BODE DO
2500 W UTOPIA RD STE. 100
PHOENIX, AZ 85027-4171
Phone number: 602-214-6148
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