Jenna Lynn Bodmer, M.D.
Pathology, Pediatric Pathology in Aurora, CO. Individual provider (NPI-1).
NPI number1104280262
StatusActive
Last updated in NPPESOct 28, 2024
Details
- NPI
- 1104280262
- Entity type
- Individual (NPI-1)
- Name
- Jenna Lynn Bodmer
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 5, 2016
- Certification date
- Oct 28, 2024
- Last updated
- Oct 28, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ZP0213X | Pathology, Pediatric Pathology | DR.0063383 | CO | Yes |
| 207ZC0500X | Pathology, Cytopathology | DR.0063383 | CO | |
| 207ZP0102X | Pathology, Anatomic Pathology & Clinical Pathology | DR.0063383 | CO |
Other names
- Jenna Lynn Bateman (Former Name)
Practice location
13123 E 16th AveAurora, CO 80045-7106
Phone 720-777-1234 · Fax 303-724-1105
Mailing address
Po Box 110429Aurora, CO 80042-0429
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