Robert Daniel Bodden-Mena, MD
Student in an Organized Health Care Education/Training Program in Fayetteville, NC. Individual provider (NPI-1).
NPI number1023807641
StatusActive
Last updated in NPPESMay 1, 2025
Details
- NPI
- 1023807641
- Entity type
- Individual (NPI-1)
- Name
- Robert Daniel Bodden-Mena
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 1, 2025
- Certification date
- May 1, 2025
- Last updated
- May 1, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
1638 Owen DrFayetteville, NC 28304-3424
Phone 910-615-3780 · Fax 910-615-9907
Mailing address
1638 Owen DrFayetteville, NC 28304-3424
Phone 910-615-3780 · Fax 910-615-9907
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All 311 Student in an Organized Health Care Education/Training Program providers in Fayetteville · All 9,765 providers in Fayetteville
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