BOUCH MEDICAL CORPORATION NPI 1720467962

NPI Information

BOUCH MEDICAL CORPORATION is a general practice in Sebastopol, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee BOUCH MEDICAL CORPORATION NPI is 1720467962. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Hill Park Medical Center.

The provider's business location address is:

435 PETALUMA AVE STE 150
SEBASTOPOL, CA
ZIP 95472-273
Phone: (707) 861-7300
Fax: (707) 823-8568

The provider's authorized official is Summer Begin .
The authorized official title is Practice Manager and has the following contact phone number (707) 861-7300.

The enumeration date for this NPI number is 5/20/2015 and was last updated on 5/20/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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