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Stephan Bodkin, MED, ATC
NPI 1164935763 · on the registry since 2017 · sole proprietor
Practice
- Address
- 210 Emmet St S
Charlottesville, VA 22903 - Phone
- (434) 924-6184
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- Athletic Trainer
2255A2300X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-11-06
- Status
- Not present in the most recent federal file
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia