EDWARD W. BOUCHARD

TAMPA, FL
NPI1093895765
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: FL  ME89261)
Enumeration Date2006-10-17
Last Update Date2007-07-08
Business Address
Dr. EDWARD W. BOUCHARD M.D.
6983 E FOWLER AVE
TAMPA, FL 33617-1714
Phone number: 813-899-6226
Mailing Address
Dr. EDWARD W. BOUCHARD M.D.
PO BOX 47509
TAMPA, FL 33647-0113
Phone number: 813-899-6226
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