Jack Booden JR., C.P.O.

NPI #1841319415 in Norfolk, Virginia

Provider Information

NPI Number: 1841319415
Entity Type: Individual
Name: Jack Booden JR., C.P.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Prosthetist
Credential: C.P.O.
Enumeration Date: Mar 28, 2007
Last Updated: Sep 11, 2025

Practice Location

Address: 2418 GRANBY ST
City: Norfolk
State: Virginia
ZIP Code: 23517-1422
Phone: (757) 627-4191

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthotist	222Z00000X
Prosthetist	224P00000X	Primary

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