T. GLEN BOUDER MD
Individual Provider (NPI-1)
Active
Internal Medicine, Critical Care Medicine
Provider Information
- NPI Number
1043203318- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 1840 AMHERST ST, WINCHESTER, VA, 226012808
- Phone
- (540) 536-8874
- Fax
- (540) 536-7847
Specialties & Taxonomies
Internal Medicine, Pulmonary Disease
License: PA #MD051542L
Internal Medicine, Critical Care Medicine
Primary License: VA #0101244705