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Dr. Randal Scott Bouchard, DC
Chiropractor in Kayenta, Arizona
NPI 1164595179

Randal Scott Bouchard is a Chiropractor based in Kayenta, AZ. Randal Scott Bouchard practices in Kayenta, AZ and has the professional credentials of DC. The NPI Number for Randal Scott Bouchard is 1164595179 and holds a License No. 5801 (Arizona).

The current practice location address for Randal Scott Bouchard is 1 Canyon Drive, Kayenta, AZ and can be reached out via phone at 928-697-2547 and via fax at 928-697-2549.

Location: 1 Canyon Drive, Kayenta, AZ, 86033-2817
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164595179
Provider Name
Randal Scott Bouchard
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
1 Canyon Drive, Kayenta, AZ, 86033-2817
Phone Number
928-697-2547
Fax Number
928-697-2549
Provider Enumeration Date
11/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1050201 01 AZ ASHN
2111887 01 AZ CCN FIRST HEALTH
218760-01 01 AZ HMA
AZ0939060 01 AZ BCBSAZ
institution
Provider Business Practice Location Address Details
Address
1 Canyon Drive
City
Kayenta
State
Arizona
Zip
86033-2817
Phone Number
928-697-2547
Fax Number
928-697-2549
person
Provider Business Mailing Address Details
Address
1 Canyon Drive
City
Kayenta
State
Arizona
Zip
86033-2817
Phone Number
928-697-2547
Fax Number
928-697-2549
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
5801 (Arizona)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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