Eric S Bouchard, MD
Internal Medicine in Tallahassee, FL. Individual provider (NPI-1).
NPI number1295742740
StatusActive
Last updated in NPPESJul 9, 2015
Details
- NPI
- 1295742740
- Entity type
- Individual (NPI-1)
- Name
- Eric S Bouchard
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 1, 2006
- Last updated
- Jul 9, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | ME87495 | FL | Yes |
Practice location
1300 Medical DrTallahassee, FL 32308-4646
Phone 850-216-0100 · Fax 850-201-4873
Mailing address
1300 Medical DrTallahassee, FL 32308-4646
Phone 850-216-0100 · Fax 850-201-4873
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