Individual
ALBERT BOURBON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 UNSER BLVD NW, ALBUQUERQUE, NM 87121-1927
(505) 925-4126
(505) 925-4721
Mailing address
933 BRADBURY DR SE, SUITE 2222, ALBUQUERQUE, NM 87106-4374
(505) 272-3120
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
92PA08
—
Other
Enumeration date
10/18/2006
Last updated
06/06/2023
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