Individual
BOURCK D CASHMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1840 N JASPER DR STE 2, FLAGSTAFF, AZ 86001-1634
(866) 974-2673
(866) 939-2673
Mailing address
18444 N 25TH AVE STE 310, PHOENIX, AZ 85023-1266
(866) 974-2673
(866) 939-2673
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
30819
AZ
207X00000X
Orthopaedic Surgery Physician
Primary
30819
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
727381
—
AZ
Enumeration date
01/31/2006
Last updated
02/28/2024
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