Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PHILIP BOUCHARD, D.O.
ActivePHILIP BOUCHARD, D.O. is a Family Medicine healthcare provider located in TUBA CITY, Arizona. NPI 1013091255 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · TUBA CITY, AZ
Registration Details
- NPI Number
- 1013091255
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 24, 2006 (19.797868581377 yrs)
- Last Updated
- Nov 3, 2011
- Licenses
-
1312 (ME)5022 (AZ)
Practice Information
- Address
-
167 NORTH MAIN STREETTUBA CITY, AZ, 860450600Browse AZ providers · Browse ZIP 86045
- Phone
- 9282832501
- Fax
- 9282832677
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in TUBA CITY, AZ
| Name | Credential | NPI |
|---|---|---|
| DR. DOMINIKA GRODZICKA HEUSINKVELD | MD | 1861483471 |
| DR. HA CAM TANG | DO | 1649213349 |
| DR. HARRY D MCGINNITY | DO | 1659314284 |
| DR. KATHRYN E MAGEE | MD | 1457394157 |
| DR. MARGARET E BLAISDELL | MD | 1043253180 |
| DR. MATTHEW R DAAB | MD | 1366472680 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.