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NPI 1164573689

IndividualActive

Anna Bodnar, MEDICAL DOCTOR

NPI 1164573689 · Pediatrics Physician · Salt Lake City, UT

Provider details

NPI number: 1164573689
Entity type: Individual
Primary specialty: Pediatrics PhysicianAllopathic & Osteopathic Physicians
Credential: MEDICAL DOCTOR
Sex: Female
Sole proprietor: No
License: 152783-1205 (UT)

Practice location

44 N Medical Dr

Salt Lake City, UT 84113-1105

Phone: (801) 842-3672

Fax: (801) 584-8242

More UT providers

Mailing address

6126 Oak Canyon Dr

Salt Lake City, UT 84121-6344

Registry dates

Enumerated: 2007-01-12
Last updated: 2007-07-08

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Anna Bodnar, MEDICAL DOCTOR — NPI 1164573689, Salt Lake City, UT | NPI Central