OrganizationActive
E. James Bodmer, D.P.M., PC
NPI 1245423219 · Health Service Clinic/Center · Gold Canyon, AZ
Provider details
- NPI number
- 1245423219
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Edward Bodmer, President(480) 363-3066
- License
- 0152 (AZ)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
9765 E Dead Sure Pl
Gold Canyon, AZ 85218-7176
Phone: (480) 363-3066
Mailing address
9765 E Dead Sure Pl
Gold Canyon, AZ 85218-7176
Registry dates
- Enumerated
- 2007-08-23
- Last updated
- 2007-08-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.