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PHILIP BOUCHARD D.O.
NPI 1013091255
Family Medicine in Tuba City, AZ

Active since October 24, 2006
167 NORTH MAIN STREET, TUBA CITY, AZ 86045(928) 283-2501(928) 283-2677 Get Directions Write a Review

NPPES record last updated: November 3, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Philip Bouchard D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHILIP BOUCHARD D.O. (NPI 1013091255) is an individual family medicine provider in Tuba City, Arizona, licensed in Arizona (5022) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1013091255
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NamePHILIP BOUCHARDCredential: D.O.
Location Address167 NORTH MAIN STREETTuba City, AZ 86045-0600
Mailing AddressPo Box 1571Tuba City, AZ 86045-1571 · (928) 283-2501 · Fax (928) 283-2677
Phone(928) 283-2501
Fax(928) 283-2677
Sole ProprietorNo
Enumeration DateOctober 24, 2006
Last NPPES UpdateNovember 3, 2011
✔ NPI 1013091255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in AZ · 5022✔ Licensed in ME · 1312
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
167 NORTH MAIN STREET, Tuba City, AZ 86045
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JIMMIE L TAYLOR RN
Registered Nurse (Ambulatory Care)
167 NORTH MAIN STREET
TUBA CITY, AZ 86045
Coconino County (928) 283-2501
DARCY ANNA HASTINGS R.N.
Registered Nurse
167 NORTH MAIN STREET
TUBA CITY, AZ 86045
Coconino County (928) 283-2501
REBECCA E ROSS RN
Registered Nurse
167 NORTH MAIN STREET
TUBA CITY, AZ 86045
Coconino County (928) 283-2501
CHARLOTTE SMITH RN
Registered Nurse
167 NORTH MAIN STREET
TUBA CITY, AZ 86045
Coconino County (928) 283-2501
GABRIELLE KAY JOE CNA
Nurse's Aide
167 NORTH MAIN STREET
TUBA CITY, AZ 86045
Coconino County (928) 283-2501
MR. MATTHEW E TIERNEY RDCS
Specialist/Technologist Cardiovascular (Sonography)
167 NORTH MAIN STREET
TUBA CITY, AZ 86045
Coconino County (928) 283-2501
CALVINA NEZ RN
Registered Nurse
167 NORTH MAIN STREET
TUBA CITY, AZ 86045
Coconino County (928) 283-2094
ANDRECE JACKSON RN
Registered Nurse
167 NORTH MAIN STREET
TUBA CITY, AZ 86045
Coconino County (928) 283-2094

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Philip Bouchard's NPI number?

The NPI number for Philip Bouchard is 1013091255. It was assigned to this individual provider in the NPPES registry on October 24, 2006.

Where is Philip Bouchard located?

Philip Bouchard practices at 167 North Main Street, Tuba City, AZ 86045. The listed phone number is (928) 283-2501.

What is Philip Bouchard's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Philip Bouchard was last updated on November 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.