Individual provider · Type 1 NPI
Edward W. Bouchard, MD
Diagnostic Radiology Physician · Tampa, FL
NPI number
1093895765
Active
Practice location
6983 E Fowler Ave
Tampa, FL 33617-1714
Fax (813) 985-8006
Mailing address
PO Box 47509
Tampa, FL 33647-0113
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician Primary | 2085R0202X | ME89261 (FL) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
3 other providers at this address
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About NPI 1093895765
Edward W. Bouchard, MD's National Provider Identifier is 1093895765, issued on Oct 17, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Tampa, FL. The record was last updated on Jul 8, 2007.