David Henry Boedeker
David Henry Boedeker is a Student in an Organized Health Care Education/Training Program in Bethesda, Maryland. Practices as a sole proprietor. Licensed in Virginia.
- Licensed in
- VA
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
4494 N Palmer RdBethesda, MD 20889-0001
Phone: (402) 213-3106
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X · Licence 0102207378 (VA) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1548859804 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 12, 2021 |
| Last updated in NPPES | July 9, 2024 |
| Certification date | July 9, 2024 |
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