Individual
DAVID HENRY BOEDEKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4494 NORTH PALMER ROAD, BETHESDA, MD 20889-0001
(402) 213-3106
Mailing address
4494 NORTH PALMER ROAD, BETHESDA, MD 20889-0001
(402) 213-3106
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0102207378
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/12/2021
Last updated
07/09/2024
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