DR. Brant Derwent Boucher, MD
NPI #1003557950 in Harpers Ferry, West Virginia
Provider Information
- NPI Number
- 1003557950
- Entity Type
- Individual
- Name
- DR. Brant Derwent Boucher, MD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Credential
- MD
- Enumeration Date
- Apr 5, 2022
- Last Updated
- Apr 5, 2022
Practice Location
- Address
- 171 TAYLOR ST
- City
- Harpers Ferry
- State
- West Virginia
- ZIP Code
- 25425-3641
- Phone
- (304) 535-6343
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
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