Organization
FRONTIER CLINICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP BOUCHER MD (OWNER)
(402) 382-2978
Entity
Organization
Contact information
Practice address
8333 GLYNOAKS DR STE 180, LINCOLN, NE 68516-6378
(402) 382-2978
(402) 509-8162
Mailing address
8333 GLYNOAKS DR STE 180, LINCOLN, NE 68516-6378
(402) 382-2978
(402) 509-8162
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
2080P0006X
Developmental - Behavioral Pediatrics Physician
—
—
Other
Enumeration date
06/10/2025
Last updated
07/29/2025
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