Individual
DR. PAUL BOURBEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-0131
(570) 271-6338
(570) 271-6105
Mailing address
100 N ACADEMY AVE, CREDENTIALS DEPT, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
207ZM0300X
Medical Microbiology Physician
Primary
NO LICENSE
PA
Other
Enumeration date
02/22/2006
Last updated
11/18/2011
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