Dr Randal Scott Bouchard, DC is a
Chiropractor based in Kayenta, Arizona. Dr Randal Scott Bouchard is licensed to practice in Arizona (license number 5801) and his current practice location is
1 Canyon Drive, Kayenta, Arizona. He can be reached at his office (for appointments etc.) via phone at
(928) 697-2547.
NPI number for Dr Randal Scott Bouchard is 1164595179 and his current mailing address is Po Box 2817, Kayenta, Arizona. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1164595179.
Healthcare Provider's Profile
Full Name | Dr Randal Scott Bouchard |
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Gender | Male |
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Speciality | Chiropractor |
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Location | 1 Canyon Drive, Kayenta, Arizona |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1164595179
- Provider Enumeration Date: 11/16/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Randal Scott Bouchard such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164595179 | NPI | - | NPPES |
1050201 | Other | AZ | ASHN |
2111887 | Other | AZ | CCN FIRST HEALTH |
218760-01 | Other | AZ | HMA |
AZ0939060 | Other | AZ | BCBSAZ |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | 5801 (Arizona) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Randal Scott Bouchard is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Randal Scott Bouchard, DC Po Box 2817, Kayenta, AZ 86033-2817 Ph: (928) 697-2547 | Dr Randal Scott Bouchard, DC 1 Canyon Drive, Kayenta, AZ 86033-2817 Ph: (928) 697-2547 |
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