William Bruce Bourland OD

NPI 1063413318 - Optometrist - 152W00000X

NPI Details
NPI 1063413318
Gender Male
Enumeration Date 08/09/2005
Last Updated 09/15/2010
Entity Type Individual
Active Over 11 years ago
Practice Location
701 FRONT ST
EVANSTON WY, 82930-3522, US
Phone (307) 789-8820
Fax (307) 789-8823
Business Location
701 FRONT ST
EVANSTON WY, 82930-3522, US
Phone (307) 789-8820
Fax (307) 789-8823
Toxanomy
Taxonomy Code 152W00000X
License State New Mexico
License Number 238
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According to our database, Dr. William Bruce Bourland OD NPI is 1063413318, taxonomy code is 152W00000X and license number is 238, license state is located at New Mexico. William Bruce Bourland OD physically located at 701 Front St, Evanston WY, 82930-3522. NPI Number William Bruce Bourland OD has the Individual type.

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1063413318 NPI number is provided on an as is basis without warranty of any kind. 1063413318 is maintained by the National Plan & Provider Enumeration System. The contents of William Bruce Bourland OD are for informational purposes only.