Most Relevant Information
Provider Data
NPI Number: | 1003461617 |
Provider Name: | ROBERT ALLEN BODNAR |
Entity Type: | Individual |
Taxonomy Code: | 175T00000X |
Specialty: | Peer Specialist |
License Number: |
Most Important Dates
Enumeration Date: | 08/09/2019 |
Last Updated: | 01/13/2021 |
Provider Practice Location
245 N BINKLEY ST STE 202
SOLDOTNA
AK
996697500
Practice Location Phone/Fax
Phone: | 9077144521 |
Fax: | 9072604063 |
Provider Mailing Location
245 N BINKLEY ST STE 202
SOLDOTNA
AK
996697500
Provider Mailing Phone/Fax
Phone: | 9077144521 |
Fax: | 9072604063 |