Whalio Doctors

NPI 1366436693

Robert Mark Bodenhamer, MD

Practitioner Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Oklahoma City, OK

Practice location

Address
4050 W Memorial Rd Fl 3, Oklahoma City, OK 73120-8382
Phone
(405) 608-3800
Fax
(405) 608-4768
Mailing address
7800 NW 85th Ter, Oklahoma City, OK 73132-3385

Registered specialties (2)

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208G00000X Licence 12800 (OK)
Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 12800 (OK)

Registry record

NPI
1366436693
Entity type
Individual
Sex (as registered)
Male
NPI issued
1 Sep 2005
Record last updated
6 Jun 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.