JACQUES MAURICE BOUCHARD

MOSCOW, ID
NPI1073871844
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: ID  M-14719)
Enumeration Date2012-04-30
Last Update Date2024-07-19
Business Address
Dr. JACQUES MAURICE BOUCHARD M.D.
623 S MAIN ST STE 1
MOSCOW, ID 83843-3042
Phone number: 208-882-2011
Mailing Address
Dr. JACQUES MAURICE BOUCHARD M.D.
PO BOX 8007
MOSCOW, ID 83843-0507
Phone number: 208-883-2224
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