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Philip Boucher, M.D
NPI 1962796839 · on the registry since 2011 · sole proprietor
Practice
- Address
- 2550 N 130th St
Omaha, NE 68164 - Phone
- (402) 214-9148
Registry record
- Primary taxonomy
- Pediatrics Physician
208000000X
- Licence states on file
- NE
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-06-08
- Status
- Not present in the most recent federal file
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nebraska