DAVID HENRY BOEDEKER

BETHESDA, MD
NPI1548859804
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208D00000X General Practice
(Licence: VA  0102207378)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-01-12
Last Update Date2024-07-09
Business Address
DAVID HENRY BOEDEKER
4494 NORTH PALMER ROAD
BETHESDA, MD 20889-0001
Phone number: 402-213-3106
Mailing Address
DAVID HENRY BOEDEKER
4494 NORTH PALMER ROAD
BETHESDA, MD 20889-0001
Phone number: 402-213-3106