Individual
ALAN ROBERT BOUCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M,D,
Contact information
Practice address
16861 MARINA BAY DRIVE, HUNTINGTON BEACH, CA 92649
(562) 754-3885
Mailing address
16861 MARINA BAY DRIVE, HUNTINGTON BEACH, CA 92649
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
G42644
CA
Other
Enumeration date
04/09/2013
Last updated
04/09/2013
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