Edward W. Bouchard M.D.

NPI 1093895765 - Radiology - 2085R0202X

NPI Details
NPI 1093895765
Gender Male
Enumeration Date 10/17/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
TAMPA FL, 33617-1714, US
Phone (813) 899-6226
Fax (813) 985-8006
Business Location
PO BOX 47509
TAMPA FL, 33647-0113, US
Phone (813) 899-6226
Fax (813) 985-8006
Taxonomy Code 2085R0202X
License State Florida
License Number ME89261
Remove 1093895765 NPI Number

According to our database, Dr. Edward W. Bouchard M.D. NPI is 1093895765, taxonomy code is 2085R0202X and license number is ME89261, license state is located at Florida. Edward W. Bouchard M.D. physically located at 6983 E Fowler Ave, Tampa FL, 33617-1714. NPI Number Edward W. Bouchard M.D. has the Individual type.

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1093895765 NPI number is provided on an as is basis without warranty of any kind. 1093895765 is maintained by the National Plan & Provider Enumeration System. The contents of Edward W. Bouchard M.D. are for informational purposes only.