MEDICARE: DULCE ELIZABETH BOUCHER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	207L00000X	Anesthesiology Physician	9529140-1205	UT

General Provider Information

NPI Number	:	1174942320
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DULCE ELIZABETH BOUCHER M.D.

Provider Business Mailing Address
First Line	:	30 N 1900 E
Second Line	:	ROOM 3C444
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84132-2501
Country	:	US
Telephone Number	:	801-581-6393
Fax Number	:	801-581-4367

Provider Business Practice Location Address
First Line	:	30 N 1900 E
Second Line	:	ROOM 3C444
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84132-2501
Country	:	US
Telephone Number	:	801-581-6393
Fax Number	:	801-581-4367

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/15/2014
Last Update Date	:	10/28/2021

Similar Medicare Providers

1437187978 — MATTHEW J GRIFFEE MD
Practice Location Address:

UNIVERSITY OF UTAH DEPARTMENT OF , 30 N 1900 E ROOM 3C 444
SALT LAKE CITY, UT
84132-2501

Practice Phone: 801-205-4132
Practice Fax: 503-494-7635

1225105828 — TATJANA WARREN CRNA
Practice Location Address:

30 N 1900 E RM 3C444
SALT LAKE CITY, UT
84132-2501

Practice Phone: 801-581-6393
Practice Fax: 801-581-4367

1679770960 — DR. ADAM WADE MEIER D.O
Practice Location Address:

30 N 1900 E RM 3C444
SALT LAKE CITY, UT
84132-2501

Practice Phone: 801-581-6393
Practice Fax:

1417248022 — DAVID PAUL DORSEY
Practice Location Address:

30 N 1900 E , ROOM 3C444
SALT LAKE CITY, UT
84132-2501

Practice Phone: 801-581-6393
Practice Fax:

1558781674 — SHEBA JOHN M.D.
Practice Location Address:

30 N 1900 E RM 3C444
SALT LAKE CITY, UT
84132-2501

Practice Phone: 801-587-1771
Practice Fax:

1710391107 — JORDAN HENDERSON M.D.
Practice Location Address:

30 N 1900 E RM 3C444
SALT LAKE CITY, UT
84132-2501

Practice Phone: 801-581-3622
Practice Fax:

Directions to “ DULCE ELIZABETH BOUCHER M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.