PETER BOUCAS

COLUMBIA, MO
NPI1871054478
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207X00000X Orthopaedic Surgery
(Licence: IL  036175068)
Enumeration Date2019-03-27
Last Update Date2025-06-20
Business Address
PETER BOUCAS DO
1100 VIRGINIA AVE
COLUMBIA, MO 65212-0001
Phone number: 573-882-2663
Mailing Address
PETER BOUCAS DO
PO BOX 843966
KANSAS CITY, MO 64184-3966
Phone number: 573-884-3300
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