-- WILLIAM BODINE -- PA-C
Individual Provider (NPI-1)
Active
Physician Assistant, Medical
Provider Information
- NPI Number
1114332459- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C
- Status
- Active
Contact & Location
- Address
- 1701 S CREASY LN, LAFAYETTE, IN, 479054972
- Phone
- (765) 502-4000
Specialties & Taxonomies
Physician Assistant, Medical
Primary License: IN #10001661A