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Dr. Heidi Elizabeth Boden, MD
Student in an Organized Health Care Education/Training Program in Lynchburg, Virginia
NPI 1396476586

Heidi Elizabeth Boden is a Student in an Organized Health Care Education/Training Program based in Lynchburg, VA. Heidi Elizabeth Boden practices in Lynchburg, VA and has the professional credentials of MD. The NPI Number for Heidi Elizabeth Boden is 1396476586 and holds a License No. 0116036754 (Virginia).

The current practice location address for Heidi Elizabeth Boden is 2323 Memorial Ave Ste 10, Lynchburg, VA and can be reached out via phone at 143-420-0615.

Location: 2323 Memorial Ave Ste 10, Lynchburg, VA, 24501-2652
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396476586
Provider Name
Heidi Elizabeth Boden
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2323 Memorial Ave Ste 10, Lynchburg, VA, 24501-2652
Phone Number
143-420-0615
Fax Number
Provider Enumeration Date
06/20/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
207Q0000X 01 VA FAMILY MEDICINE
institution
Provider Business Practice Location Address Details
Address
2323 Memorial Ave Ste 10
City
Lynchburg
State
Virginia
Zip
24501-2652
Phone Number
143-420-0615
Fax Number
person
Provider Business Mailing Address Details
Address
2323 Memorial Ave Ste 10
City
Lynchburg
State
Virginia
Zip
24501-2652
Phone Number
143-420-0615
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
0116036754 (Virginia)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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