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 |