Daniel J Bourassa DC PA

NPI 1043227994 - Chiropractor - 111N00000X

NPI Details
NPI 1043227994
Gender Male
Enumeration Date 08/02/2006
Last Updated 12/27/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
4400 BAYOU BLVD
SUITE 52A
PENSACOLA FL, 32503-2673, US
Phone (850) 471-2225
Fax (850) 471-2229
Business Location
4400 BAYOU BLVD
SUITE 52A
PENSACOLA FL, 32503-2673, US
Phone (850) 471-2225
Fax (850) 471-2229
Toxanomy
Taxonomy Code 111N00000X
License State Alabama
License Number 1264
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According to our database, Dr. Daniel J Bourassa DC PA NPI is 1043227994, taxonomy code is 111N00000X and license number is 1264, license state is located at Alabama. Daniel J Bourassa DC PA physically located at 4400 Bayou Blvd, Pensacola FL, 32503-2673. NPI Number Daniel J Bourassa DC PA has the Individual type.

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1043227994 NPI number is provided on an as is basis without warranty of any kind. 1043227994 is maintained by the National Plan & Provider Enumeration System. The contents of Daniel J Bourassa DC PA are for informational purposes only.