Individual
DR. RONALD J BOUCHER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
34800 BOB WILSON DR, NMCSD, ATTN: MEDICAL STAFF SERVICES, SAN DIEGO, CA 92134-1098
(619) 532-6460
(619) 532-6299
Mailing address
34800 BOB WILSON DR, NMCSD, ATTN: MEDICAL STAFF SERVICES, SAN DIEGO, CA 92134-1098
(619) 532-6460
(619) 532-6299
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
A60766
CA
2085R0202X
Diagnostic Radiology Physician
Primary
A60766
CA
Other
Enumeration date
01/25/2006
Last updated
09/11/2025
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