Individual
JULIA K BOUCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6140 W CURTISIAN, STE 100, BOISE, ID 83704
(208) 367-4224
(208) 367-7806
Mailing address
3340 E GOLDSTONE WAY, MERIDIAN, ID 83642-1026
(208) 367-5189
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
M8138
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
805860000
—
ID
Enumeration date
06/16/2006
Last updated
12/31/2008
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