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1720498975
LISA BOUCEK
SCOTTSDALE, AZ
NPI
1720498975
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2080A0000X Pediatrics, Adolescent Medicine
(Licence: AZ 54432)
Enumeration Date
2014-04-28
Last Update Date
2019-07-18
Business Address
LISA BOUCEK M.D.
21807 N SCOTTSDALE RD
SCOTTSDALE, AZ 85255
Phone number: 480-860-8488
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Mailing Address
LISA BOUCEK M.D.
9827 N 95TH ST STE 105
SCOTTSDALE, AZ 85258-4591
Phone number: 480-860-8488
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