NPI 1033147129 · live from the CMS NPI Registry
Mark N Bodily, MD
Anesthesiology in Springfield, OR. National Provider Identifier 1033147129, active.
NPI record
| NPI | 1033147129 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology 207L00000X |
| Practice location | 3333 Riverbend Dr, Springfield, OR 97477 |
| Practice phone | 541-222-3154 |
| Mailing address | Po Box 7247, Springfield, OR 97475 |
| Enumerated | June 29, 2006 |
| Last updated | June 8, 2012 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology primary | 207L00000X | MD16190 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.