Individual
THOMAS D BOURNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10810 EXECUTIVE CENTER DR STE 100, LITTLE ROCK, AR 72211-4386
(501) 604-2695
(501) 604-2699
Mailing address
10810 EXECUTIVE CENTER DR STE 100, LITTLE ROCK, AR 72211-4386
(501) 604-2695
(501) 604-2699
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0101241305
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346462561
—
VA
Enumeration date
05/03/2007
Last updated
02/04/2021
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