NPI 1003557950

Brant Derwent Boucher, MD

Practitioner Student in an Organized Health Care Education/Training Program Harpers Ferry, WV

Practice location

Address: 171 Taylor St, Harpers Ferry, WV 25425-3641
Phone: (304) 535-6343
Fax: (304) 596-2840

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in West Virginia →

Registry record

NPI: 1003557950
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Apr 2022
Record last updated: 5 Apr 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.