DR. Mark Daniel Bouchard, MD

NPI #1316392517 in Issaquah, Washington

Provider Information

NPI Number: 1316392517
Entity Type: Individual
Name: DR. Mark Daniel Bouchard, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: MD
Enumeration Date: Apr 26, 2016
Last Updated: Jan 17, 2022

Practice Location

Address: 751 NE BLAKELY DR STE 5010
City: Issaquah
State: Washington
ZIP Code: 98029-6201
Phone: (425) 394-0700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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