Dr MARK HC BOUFFARD IV MD is a male medical professional, specializing in Physical Medicine And Rehabilitation. He graduated in 1998.
PAIN AND SPINE CENTER OF THE DESERT INC
72650 FRED WARING DR
SUITE 214
PALM DESERT
CA
922605010
Tel: 7607767999
| Npi | 1528168622 |
| Pac Id | 3779532288 |
| Professional Enrollment Id | I20050121000233 |
| Last Name | BOUFFARD |
| First Name | MARK |
| Middle Name | HC |
| Suffix | IV |
| Gender | M |
| Credential | MD |
| Medical School Name | OTHER |
| Graduation Year | 1998 |
| Primary Specialty | PHYSICAL MEDICINE AND REHABILITATION |
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| Organization Legal Name | PAIN AND SPINE CENTER OF THE DESERT INC |
| Group Practice Pac Id | 4385811009 |
| Number Of Group Practice Members | 2 |
| Line 1 Street Address | 72650 FRED WARING DR |
| Line 2 Street Address | SUITE 214 |
| Marker Of Address Line 2 Suppression | |
| City | PALM DESERT |
| State | CA |
| Zip Code | 922605010 |
| Phone Number | 7607767999 |
| Hospital Affiliation Ccn 1 | 050573 |
| Hospital Affiliation Lbn 1 | EISENHOWER MEDICAL CENTER |
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| Professional Accepts Medicare Assignment | Y |
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