DR. Randal Scott Bouchard, D.C.

NPI #1164595179 in Kayenta, Arizona

Provider Information

NPI Number: 1164595179
Entity Type: Individual
Name: DR. Randal Scott Bouchard, D.C.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Nov 16, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1 CANYON DRIVE
City: Kayenta
State: Arizona
ZIP Code: 86033-2817
Phone: (928) 697-2547

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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