Robert Boucher, PA

NPI #1144364340 in Downey, California

Provider Information

NPI Number
1144364340
Entity Type
Individual
Name
Robert Boucher, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA
Enumeration Date
Feb 19, 2007
Last Updated
Jul 9, 2007

Practice Location

Address
7601 IMPERIAL HWY
City
Downey
ZIP Code
90242-3456
Phone
(562) 803-0124

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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