Bodenhamer, Robert Mark

Bodenhamer, Robert Mark is an individual health care provider with primary practice located at 4050 W Memorial Rd Fl 3 , Oklahoma City OK 73120-8382. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Bodenhamer, Robert Mark can be contacted via phone (405) 608-3800.

Contact Information

Primary practice address
4050 W Memorial Rd Fl 3 Oklahoma City OK 73120-8382
Phone: (405) 608-3800
Fax: (405) 608-4768
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 12800 Oklahoma
Allopathic & Osteopathic Physicians / Surgery 208600000X 12800 Oklahoma

Profile Details

NPI number 1366436693
LBN Legal business name Bodenhamer, Robert Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2005
Last updated Jun 6th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366436693 NPPES
Oklahoma Other 020047750 RRMDR

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