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Individual
JOSHUA D BOUCHER
Active
Individual
JOSHUA D BOUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
197774
AK
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1736687
—
AK
01
—
197774
STATE OF ALASKA
AK
Enumeration date
07/19/2016
Last updated
06/12/2023
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