Individual
EUGENE E BOURNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6428 S BLACKHAWK WAY, AURORA, CO 80016-3149
(720) 870-5109
Mailing address
6428 S BLACKHAWK WAY, AURORA, CO 80016-3149
(720) 870-5109
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
11960
AZ
2085R0202X
Diagnostic Radiology Physician
Primary
20112
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01201128
—
CO
05
—
636558
—
AZ
Enumeration date
06/23/2006
Last updated
11/09/2010
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