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Organization

REED M. BOUCHEY, M.D., P.C.

Active
Other names
Bouchey Eye Surgery
Organization subpart
No

Provider details

NPI number
Authorized official
DR. REED MUNRO BOUCHEY M.D., P.C. (PRESIDENT)
(319) 385-6775
Entity
Organization

Contact information

Practice address
501 S WHITE ST, SUITE 105, MOUNT PLEASANT, IA 52641-2600
(319) 385-6775
(319) 385-6778
Mailing address
501 S WHITE ST, SUITE 105, MOUNT PLEASANT, IA 52641-2600
(319) 385-6775
(319) 385-6778

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
26041
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0100297
IA
01
12294
BLUE SHIELD
IA
01
372521983526410000
TRICARE
IA
Enumeration date
10/24/2007
Last updated
01/03/2008
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