Individual
TODD MICHAEL BOUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
16951 E QUINCY AVE, AURORA, CO 80015-1901
(303) 752-5480
(303) 752-5481
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
(970) 624-4123
(970) 624-2416
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA.0005535
CO
Other
Enumeration date
01/07/2019
Last updated
07/05/2022
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