Individual
LUKE BOUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8901 ROCKVILLE PIKE, BETHESDA, MD 20889-0001
(301) 295-4000
Mailing address
8901 ROCKVILLE PIKE, BETHESDA, MD 20889-0001
(301) 295-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2021014127
MO
390200000X
Student in an Organized Health Care Education/Training Program
2021014127
MO
Other
Enumeration date
06/07/2019
Last updated
08/17/2023
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