Individual
RICHARD THOMAS BOUCHE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1551 NW 54TH ST, SEATTLE, WA 98107-3845
(206) 782-3383
(206) 782-9585
Mailing address
1551 NW 54TH ST, SEATTLE, WA 98107-3845
(206) 782-3383
(206) 782-9585
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO00000288
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1603406
—
WA
Enumeration date
06/09/2006
Last updated
07/08/2007
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