Theresa Bodine, PA

NPI #1780746487 in Geneva, New York

Provider Information

NPI Number: 1780746487
Entity Type: Individual
Name: Theresa Bodine, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Dec 16, 2006
Last Updated: Jan 7, 2022

Practice Location

Address: 200 NORTH ST
City: Geneva
State: New York
ZIP Code: 14456-1561
Phone: (315) 787-5100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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