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Individual

MRS. SAMANTHA DAWN BOUCHIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
12174 N MERIDIAN ST STE 300, CARMEL, IN 46032-4578
(317) 688-9000
(317) 680-9900
Mailing address
12174 N MERIDIAN ST STE 300, CARMEL, IN 46032-4578
(317) 688-9000
(317) 680-9900

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01072482A
IN
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201117770
IN
Enumeration date
04/05/2010
Last updated
06/13/2024
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