Orland Kenton Boucher, PA

NPI #1013037357 in Scottsdale, Arizona

Provider Information

NPI Number
1013037357
Entity Type
Individual
Name
Orland Kenton Boucher, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA
Enumeration Date
Mar 30, 2007
Last Updated
Sep 10, 2020

Practice Location

Address
13400 E SHEA BLVD
State
Arizona
ZIP Code
85259-5404
Phone
(480) 301-8000

Specialties & Taxonomy Codes

Specialty
Physician Assistant - SurgicalSurgical
Physician Assistant

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