Individual
DR. PHILIPPE BOUCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5404
(480) 301-8000
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5404
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
40845
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
370257
—
AZ
Enumeration date
08/08/2008
Last updated
10/24/2008
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