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T. Glen Bouder, MD
Critical Care Medicine (Internal Medicine) Physician in Winchester, Virginia
NPI 1043203318

T. Glen Bouder is a Critical Care Medicine (Internal Medicine) Physician based in Winchester, VA and is specialized in Critical Care Medicine. T. Glen Bouder practices in Winchester, VA and has the professional credentials of MD. The NPI Number for T. Glen Bouder is 1043203318 and holds a License No. MD051542L (Virginia).

The current practice location address for T. Glen Bouder is 1840 Amherst St, Winchester, VA and can be reached out via phone at 540-536-8874 and via fax at 540-536-7847.

Location: 1840 Amherst St, Winchester, VA, 22601-2896
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043203318
Provider Name
T. Glen Bouder
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1840 Amherst St, Winchester, VA, 22601-2896
Phone Number
540-536-8874
Fax Number
540-536-7847
Provider Enumeration Date
08/23/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1043203318 05 MD
institution
Provider Business Practice Location Address Details
Address
1840 Amherst St
City
Winchester
State
Virginia
Zip
22601-2808
Phone Number
540-536-8874
Fax Number
540-536-7847
person
Provider Business Mailing Address Details
Address
1840 Amherst St
City
Winchester
State
Virginia
Zip
22601-2808
Phone Number
540-536-8874
Fax Number
540-536-7847
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Critical Care Medicine
Taxonomy
207RC0200X
License No.
0101244705 (Virginia)
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Pulmonary Disease
Taxonomy
207RP1001X
License No.
MD051542L (Pennsylvania)
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
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