Randal S Bouchard (NPI# 1164595179, PAC ID# 1850393596) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1164595179 |
| PAC ID by PECOS | 1850393596 |
| Professional Enrollment ID | I20070208000225 |
| Full Name | Randal S Bouchard |
| Organization Legal Name | KAYENTA FAMILY HEALTH CARE PC |
| Address |
One Canyon Dr Kayenta AZ 86033-2817 |
| Phone Number | 9286972547 |
| Gender | M |
| Credential | DC |
| Medical School | PALMER COLLEGE CHIROPRACTIC - DAVENPORT |
| Graduation Year | 1995 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 7810999653 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| One Canyon Dr, Kayenta, AZ 86033-2817 | 9286972547 | KAYENTA FAMILY HEALTH CARE PC |
| Organization Legal Name | KAYENTA FAMILY HEALTH CARE PC |
| Physicians | 1 |
| Street Address |
ONE CANYON DR |
| City | KAYENTA |
| State | AZ |
| Zip | 86033-2817 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Walter F Robertson | Chiropractic | One Canyon Dr, Kayenta, AZ 86033-2817 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joann Draper | Nurse Practitioner | Canyonlands Community Health Care | E On Us S Sr59, Kayenta, AZ 86033 |
| Ruth Luck | Physician Assistant | Canyonlands Community Health Care | E On Us S Sr59, Kayenta, AZ 86033 |
| Jarrod D Johnson | Family Practice | Canyonlands Community Health Care | E On Us S Sr59, Kayenta, AZ 86033 |
| Brenda Joyce Freeman | Certified Nurse Midwife (cnm) | Dhhs Naihs Phs Kayenta Health Center | Us Hwy 160 Mp 394 3, Kayenta, AZ 86033-0368 |
| Debralee D Johnson | Nurse Practitioner | Dhhs Naihs Phs Kayenta Health Center | Us Hwy 160 Mp 394 3, Kayenta, AZ 86033-0368 |
| Brenda Lee | Clinical Social Worker | Dhhs Naihs Phs Kayenta Health Center | Us Hwy 160 Mp 394 3, Kayenta, AZ 86033-0368 |
| Thomas R Reardon | Nurse Practitioner | Dhhs Naihs Phs Kayenta Health Center | Us Hwy 160 Mp 394 3, Kayenta, AZ 86033-0368 |
| Scott D Mitchell | Physical Therapy | Dhhs Naihs Phs Kayenta Health Center | Us Hwy 160 Mp 394 3, Kayenta, AZ 86033-0368 |
| Marissa B Wall | Optometry | Dhhs Naihs Phs Kayenta Health Center | Us Hwy 160 Mp 394 3, Kayenta, AZ 86033-0368 |
| Kyle M Knight | Physical Therapy | Dhhs Naihs Phs Kayenta Health Center | Us Hwy 160 Mp 394 3, Kayenta, AZ 86033-0368 |
| Find all physicians in zip 86033 | |||
| City | KAYENTA |
| Zip Code | 86033 |
| Specialty | CHIROPRACTIC |
| City + Specialty | KAYENTA + CHIROPRACTIC |
Please comment or provide details below to improve the information on Randal S Bouchard.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.