PHILIP BOUCHARD, D.O.
Family Medicine
Active
Individual
NPI: 1013091255
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | 5022 (AZ) |
Frequently Asked Questions
NPI 1013091255 is the National Provider Identifier for PHILIP BOUCHARD, D.O., a Family Medicine provider located in Tuba City, AZ. This NPI was enumerated on October 24, 2006.
PHILIP BOUCHARD, D.O. practices at 167 NORTH MAIN STREET, Tuba City, AZ 86045.
Quick Facts
- NPI
- 1013091255
- Type
- Individual
- Enumerated
- Oct 24, 2006
- Last Updated
- Nov 3, 2011
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