Individual
DR. CARL WINSTON BOURNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4600 BROADWAY, SACRAMENTO, CA 95820-1527
(916) 874-9670
Mailing address
218 FALLEN LEAF DR, VACAVILLE, CA 95687-4302
(707) 447-4265
(707) 453-7047
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G49005
CA
Other
Enumeration date
10/27/2006
Last updated
07/08/2007
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