BOUCH MEDICAL CORPORATION

General Practice

Active Organization
NPI: 1720467962

Practice Address

435 PETALUMA AVE STE 150
Sebastopol, CA 95472

Phone: (707) 861-7300

Specialties

Specialty Code Primary License
Neuromusculoskeletal Medicine & OMM 204D00000X No 20A9470 (CA)
Internal Medicine 207R00000X No G55518 (CA)
General Practice 208D00000X Yes G35969 (CA)
Registered Nurse - General Practice 163WG0000X No 393692 (CA)

Frequently Asked Questions

NPI 1720467962 is the National Provider Identifier for BOUCH MEDICAL CORPORATION, a General Practice provider located in Sebastopol, CA. This NPI was enumerated on May 20, 2015.

Quick Facts

NPI
1720467962
Type
Organization
Enumerated
May 20, 2015
Last Updated
May 20, 2015

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