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1871054478
PETER BOUCAS
COLUMBIA, MO
NPI
1871054478
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: MO 2024009787)
Enumeration Date
2019-03-27
Last Update Date
2024-07-11
Business Address
PETER BOUCAS DO
1100 VIRGINIA AVE
COLUMBIA, MO 65212-0001
Phone number: 573-882-2663
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Mailing Address
PETER BOUCAS DO
PO BOX 843966
KANSAS CITY, MO 64184-3966
Phone number: 573-884-3300
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