NPI 1013037357

Orland Kenton Boucher, PA

Practitioner Physician Assistant Scottsdale, AZ

Practice location

Address: 13400 E Shea Blvd, Scottsdale, AZ 85259-5404
Phone: (480) 301-8000

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 3830 (AZ)

Other Physician Assistant providers in Arizona →

Surgical Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence 010398 (NY)

Registry record

NPI: 1013037357
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Mar 2007
Record last updated: 10 Sep 2020

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.