JACK BOODEN JR., C.P.O.
Prosthetist
Active
Individual
NPI: 1841319415
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Orthotist | 222Z00000X | No | CPO 00503 () |
| Prosthetist | 224P00000X | Yes | CPO 00503 () |
Frequently Asked Questions
NPI 1841319415 is the National Provider Identifier for JACK BOODEN JR., C.P.O., a Prosthetist provider located in Norfolk, VA. This NPI was enumerated on March 28, 2007.
JACK BOODEN JR., C.P.O. practices at 2418 GRANBY ST, Norfolk, VA 23517.
Quick Facts
- NPI
- 1841319415
- Type
- Individual
- Enumerated
- Mar 28, 2007
- Last Updated
- Sep 11, 2025
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