Individual provider · Type 1 NPI
Rene Albert Boucher, DO
Interventional Pain Medicine Physician · Bowling Green, KY
Practice location
165 Natchez Trace Ave, Suite 205
Bowling Green, KY 42103-7940
Fax (270) 393-1913
Mailing address
350 Park St, Ste 203 B
Bowling Green, KY 42101-1784
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology Physician | 207L00000X | 02561 (KY) |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 02561 (KY) |
| Interventional Pain Medicine Physician Primary | 208VP0014X | 02561 (KY) |
| Pain Medicine Physician | 208VP0000X | 02561 (KY) |
Interventional Pain Medicine Physician: Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
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About NPI 1699769869
Rene Albert Boucher, DO's National Provider Identifier is 1699769869, issued on Sep 2, 2005. The primary taxonomy on file is Interventional Pain Medicine Physician (208VP0014X), and the practice location is in Bowling Green, KY. The record was last updated on Sep 18, 2009.