Organization
BREAST CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTI S. BOURNE M.D. (PRESIDENT)
(602) 971-5002
Entity
Organization
Contact information
Practice address
16620 N 40TH ST, STE. H3, PHOENIX, AZ 85032-3348
(602) 971-5002
(602) 368-4638
Mailing address
16620 N 40TH ST, STE. H3, PHOENIX, AZ 85032-3348
(602) 971-5002
(602) 368-4638
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
19443
AZ
Other
Enumeration date
06/17/2006
Last updated
10/03/2007
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