Individual
DR. JASON L BOURLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1375 E 19TH AVE, DENVER, CO 80218-1114
(303) 338-4545
(303) 344-7715
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
(303) 338-4545
(303) 344-7715
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DR.0056252
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
028946
KAISER COMMERCIAL NUMBER
CO
05
—
83000259
—
CO
Enumeration date
06/11/2011
Last updated
11/27/2018
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