Individual
DR. RONALD PAUL BOUFFARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS DC DABCI
Contact information
Practice address
18 WEST STREET, BOOTHBAY HARBOR, ME 04538-1849
(207) 633-5500
(207) 633-0805
Mailing address
18 WEST STREET, BOOTHBAY HARBOR, ME 04538-1849
(207) 633-5500
(207) 633-0805
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CR1032
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030232
ANTHEM/BC BLUE SHIELD
ME
Enumeration date
05/18/2006
Last updated
01/19/2018
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