person
Mario Bouchard
Critical Care Medicine Registered Nurse in Gallup, New Mexico
NPI 1104350859

Mario Bouchard is a Critical Care Medicine Registered Nurse based in Gallup, NM and is specialized in Critical Care Medicine. Mario Bouchard practices in Gallup, NM. The NPI Number for Mario Bouchard is 1104350859 and holds a License No. RN 3173492 (New Mexico).

The current practice location address for Mario Bouchard is 516 E Nizhoni Blvd, Gallup, NM and can be reached out via phone at 505-722-1000.

Location: 516 E Nizhoni Blvd, Gallup, NM, 87301-5748
person
Provider Profile Details
NPI Number
1104350859
Provider Name
Mario Bouchard
Credential
Provider Entity Type
Individual
Gender
Male
Address
516 E Nizhoni Blvd, Gallup, NM, 87301-5748
Phone Number
505-722-1000
Fax Number
Provider Enumeration Date
04/19/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
516 E Nizhoni Blvd
City
State
Zip
87301-5748
Phone Number
505-722-1000
Fax Number
person
Provider Business Mailing Address Details
Address
516 E Nizhoni Blvd
City
State
Zip
87301-5748
Phone Number
505-722-1000
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Critical Care Medicine
Taxonomy
License No.
RN 3173492 (Florida)
Definition
Definition to come...
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