Individual
DR. STANLEY ANTHONY BOUCREE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
15670
MD
122300000X
Dentist
DEN5938
DC
207P00000X
Emergency Medicine Physician
MD036903
DC
207R00000X
Internal Medicine Physician
Primary
D71459
MD
Other
Enumeration date
12/24/2007
Last updated
10/25/2019
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