Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Marissa Boettcher, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1518653567

Marissa Boettcher, MD is a Student in an Organized Health Care Education/Training Program in Charlottesville, Virginia. Works from 2 locations. Licensed in Virginia.

Licensed in
VA
In the registry since
2023
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1215 Lee St
Charlottesville, VA 22908-4810
Phone: (434) 297-6029
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2720 Sunset Blvd, West Columbia, SC 29169-4810 — (803) 791-2769

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 0116038941 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1518653567
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 13, 2023
Last updated in NPPESJune 20, 2024
Certification dateJune 20, 2024

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