Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 18507 | AZ |
NPI | 1083628457 |
---|---|
Provider Name | Dr. Barbara Young Bode |
First Address | Tucson, AZ 85723-0001 |
Second Address | Tucson, AZ 85723-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2006 |
Last Update Date | 08/07/2007 |