Individual
ZOE MARIE BOUCHELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
777 BANNOCK ST, DENVER HEALTH DEPARTMENT OF PEDIATRICS, DENVER, CO 80204-4507
(410) 960-3658
Mailing address
777 BANNOCK ST, DENVER HEALTH DEPARTMENT OF PEDIATRICS, DENVER, CO 80204-4319
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
DR.0070581
CO
208000000X
Pediatrics Physician
MT213903
PA
Other
Enumeration date
06/06/2017
Last updated
06/14/2023
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