Individual
MEGAN ELIZABETH BOUCHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1000 E BROAD ST, RICHMOND, VA 23219-1930
(804) 828-3500
(804) 628-4501
Mailing address
PO BOX 780125, PHILADELPHIA, PA 19178-0125
(804) 922-4844
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101285697
VA
2086S0102X
Surgical Critical Care Physician
0101285697
VA
2086S0120X
Pediatric Surgery Physician
0101285697
VA
2086S0127X
Trauma Surgery Physician
0101285697
VA
Other
Enumeration date
04/03/2016
Last updated
10/27/2025
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