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Daniel Elkins Boucher, MD
Student in an Organized Health Care Education/Training Program in Murrieta, California
NPI 1164115549

Daniel Elkins Boucher is a Student in an Organized Health Care Education/Training Program based in Murrieta, CA. Daniel Elkins Boucher practices in Murrieta, CA and has the professional credentials of MD. The NPI Number for Daniel Elkins Boucher is 1164115549 and holds a License No. (California).

The current practice location address for Daniel Elkins Boucher is 28062 Baxter Rd, Murrieta, CA and can be reached out via phone at 951-704-1740.

Location: 28062 Baxter Rd, Murrieta, CA, 92563-1401
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164115549
Provider Name
Daniel Elkins Boucher
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
28062 Baxter Rd, Murrieta, CA, 92563-1401
Phone Number
951-704-1740
Fax Number
Provider Enumeration Date
05/31/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
28062 Baxter Rd
City
Murrieta
State
California
Zip
92563-1401
Phone Number
951-704-1740
Fax Number
person
Provider Business Mailing Address Details
Address
28062 Baxter Rd
City
Murrieta
State
California
Zip
92563-1401
Phone Number
951-704-1740
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(California)
Definition
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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