Individual
CHRISTI S. BOURNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
19646 N 27TH AVE STE 407, PHOENIX, AZ 85027-4028
(602) 374-3440
(602) 374-3441
Mailing address
19646 N 27TH AVE STE 407, PHOENIX, AZ 85027-4028
(602) 374-3440
(602) 374-3441
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
19443
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020051637
RAIL ROAD MEDICARE
AZ
05
—
295437
—
AZ
Enumeration date
06/22/2006
Last updated
11/13/2023
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