Emily Brooke Boucher, PA-C

NPI #1255933263 in Kettering, Ohio

Provider Information

NPI Number
1255933263
Entity Type
Individual
Name
Emily Brooke Boucher, PA-C
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Nov 13, 2020
Last Updated
Mar 8, 2021

Practice Location

Address
3737 SOUTHERN BLVD
Address 2
BOONSHOFT BLD. FLOOR E
State
Ohio
ZIP Code
45429
Phone
(937) 294-1489

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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