# DAVID A BOETCHER MD PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225105257
- **Authorized official:** DAVID A BOETCHER MD (PRESIDENT)
- **Authorized official phone:** (301) 464-3020

## Contact information

- **Practice address:** 14300 GALLANT FOX LN, STE 118, BOWIE, MD 20715-4003
- **Practice address phone:** (301) 464-3020
- **Practice address fax:** (301) 262-8703
- **Mailing address:** 14300 GALLANT FOX LN, STE 118, BOWIE, MD 20715-4003

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/28/2006
- **Last updated:** 05/16/2008