Individual
JEREMY MICHAEL BOUCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11520 HAVEN WAY, OKLAHOMA CITY, OK 73120-4616
(405) 881-7776
Mailing address
11520 HAVEN WAY, OKLAHOMA CITY, OK 73120-4616
(405) 881-7776
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
23387
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20076550A
—
OK
Enumeration date
02/02/2007
Last updated
11/20/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us