Philip Bouchard, D.O.

NPI #1013091255 in Tuba City, Arizona

Provider Information

NPI Number
1013091255
Entity Type
Individual
Name
Philip Bouchard, D.O.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Family Medicine
Credential
D.O.
Enumeration Date
Oct 24, 2006
Last Updated
Nov 3, 2011

Practice Location

Address
167 NORTH MAIN STREET
State
Arizona
ZIP Code
86045-0600
Phone
(928) 283-2501

Specialties & Taxonomy Codes

Specialty
Family Medicine

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