Organization
BREAST CARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTI SUE BOURNE M.D. (OWNER)
(602) 971-5002
Entity
Organization
Contact information
Practice address
16620 N 40TH ST, STE. H - 3, PHOENIX, AZ 85032-3348
(602) 971-5002
(602) 368-4638
Mailing address
16620 N 40TH ST, STE. H - 3, PHOENIX, AZ 85032-3348
(602) 971-5002
(602) 368-4638
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
19443
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
295437
—
AZ
Enumeration date
12/28/2006
Last updated
08/22/2020
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