Organization
BODEN HEALTH NATIONAL GOUT CENTERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JADE WILT (BILLING MANAGER)
(540) 508-0651
Entity
Organization
Contact information
Practice address
3038 VALLEY AVE, WINCHESTER, VA 22601-2637
(540) 508-0651
(540) 508-0841
Mailing address
4 WEEMS LN # 128, WINCHESTER, VA 22601-3602
(540) 508-0651
(540) 508-0841
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
01/29/2021
Last updated
01/29/2021
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