Individual provider · Type 1 NPI

Brant Derwent Boucher, MD

Student in an Organized Health Care Education/Training Program · Harpers Ferry, WV

NPI number 1003557950 Active

Practice location

171 Taylor St
Harpers Ferry, WV 25425-3641

Call (304) 535-6343 Map

Fax (304) 596-2840

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1003557950

Brant Derwent Boucher, MD's National Provider Identifier is 1003557950, issued on Apr 5, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Harpers Ferry, WV. The record was last updated on Apr 5, 2022.