Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. RANDY ROLAND BOUCHER, IDC
ActiveMR. RANDY ROLAND BOUCHER, IDC is a Independent Duty Corpsman healthcare provider located in PORTSMOUTH, Virginia. NPI 1356500938 is currently active in the NPPES registry. Verify at CMS.
Independent Duty Corpsman · PORTSMOUTH, VA
Registration Details
- NPI Number
- 1356500938
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 9, 2008 (18.138885020753 yrs)
- Last Updated
- Jun 9, 2008
Practice Information
- Address
-
620 JOHN PAUL JONES CIRPORTSMOUTH, VA, 237082111Browse VA providers · Browse ZIP 23708
- Phone
- 7579535080
- Primary Specialty
-
Independent Duty Corpsman
1710I1002X
Other Independent Duty Corpsman Providers in PORTSMOUTH, VA
| Name | Credential | NPI |
|---|---|---|
| RORY DEAN MILLER | IDC | 1679534937 |
| MR. BERNARD L. HODGES | IDC | 1942262340 |
| BRAD ANDREW LIPERT | — | 1366481665 |
| ERIC JAMES DUCHESNEAU | — | 1538102314 |
| TERESA R MCKINNEY | — | 1043254048 |
| BRIAN KEITH HUMBLES | IDC | 1568498764 |
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.