Individual
TYLER EUGENE BOUCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2223 MISSION WAY, BILLINGS, MT 59102-0160
(406) 237-8282
Mailing address
3736 GYMNAST WAY, BILLINGS, MT 59102-7217
(406) 740-0689
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MED-PAC-LIC-116768
MT
Other
Enumeration date
01/16/2023
Last updated
01/16/2023
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