Individual
DR. ERIC BOURNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
85 SIERRA PARK RD, MAMMOTH LAKES, CA 93546-2073
(760) 934-3311
Mailing address
PO BOX 2489, MAMMOTH LAKES, CA 93546-2489
(760) 914-3757
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A134579
CA
Other
Enumeration date
07/23/2013
Last updated
07/21/2022
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