Organization
BODEN HEALTH NATIONAL GOUT CENTERS, LLC
Active
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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