Individual
JOHN K BOUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 S 11TH AVE, SUITE 223, YAKIMA, WA 98902-3242
(509) 248-6080
(509) 248-9964
Mailing address
PO BOX 2947, YAKIMA, WA 98907-2947
(509) 248-7849
(509) 249-5042
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD00016820
WA
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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