| Dr Randal Scott Bouchard, DC | |
|
1 Canyon Drive, Kayenta, AZ 86033-2817 | |
| (928) 697-2547 | |
| (928) 697-2549 |
| Full Name | Dr Randal Scott Bouchard |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 1 Canyon Drive, Kayenta, Arizona |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| 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 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 5801 (Arizona) | Primary |
| 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 |
Dr. Walter F. Robertson, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1 Canyon Drive, Kayenta, AZ 86033 Phone: 928-697-2547 Fax: 928-697-2549 | |
Kayenta Family Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: One Canyon Drive, Kayenta, AZ 86033 Phone: 928-697-2547 Fax: 928-697-2549 |