Jonathan Bourne M.D.

NPI 1013062660 - Anesthesiology - 207L00000X

NPI Details
NPI 1013062660
Gender Male
Enumeration Date 01/24/2007
Last Updated 07/23/2010
Entity Type Individual
Active Over 9 years ago
Practice Location
85 SIERRA PARK RD
MAMMOTH LAKES CA, 93546-0660, US
Phone (760) 924-4078
Fax (760) 924-4058
Business Location
PO BOX 660
85 SIERRA PARK RD
MAMMOTH LAKES CA, 93546-0660, US
Phone (760) 924-4078
Fax (760) 924-4058
Toxanomy
Taxonomy Code 207L00000X
License State California
License Number G48548
Remove 1013062660 NPI Number
 

According to our database, Dr. Jonathan Bourne M.D. NPI is 1013062660, taxonomy code is 207L00000X and license number is G48548, license state is located at California. Jonathan Bourne M.D. physically located at 85 Sierra Park Rd, Mammoth Lakes CA, 93546-0660. NPI Number Jonathan Bourne M.D. has the Individual type.

Sponsored links

1013062660 NPI number is provided on an as is basis without warranty of any kind. 1013062660 is maintained by the National Plan & Provider Enumeration System. The contents of Jonathan Bourne M.D. are for informational purposes only.