Individual
DR. PATRICK W. BOURQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
17487 OLD JEFFERSON HWY, SUITE D, PRAIRIEVILLE, LA 70769-4043
(225) 744-3902
(225) 744-3952
Mailing address
17487 OLD JEFFERSON HWY, SUITE D, PRAIRIEVILLE, LA 70769-4043
(225) 744-3902
(225) 744-3952
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1108
LA
111NS0005X
Sports Physician Chiropractor
4158
LA
Other
Enumeration date
08/16/2006
Last updated
05/07/2009
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