Individual
DR. HEIDI ELIZABETH BODEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2323 MEMORIAL AVE STE 10, LYNCHBURG, VA 24501-2652
(143) 420-0615
Mailing address
2323 MEMORIAL AVE STE 10, LYNCHBURG, VA 24501-2652
(143) 420-0615
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101286076
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
207Q0000X
FAMILY MEDICINE
VA
Enumeration date
06/20/2022
Last updated
06/23/2025
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