Individual
CARRIE BOURGET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
36800 N SIDEWINDER RD, STE A-4, CAREFREE, AZ 85377
(480) 595-0431
(480) 595-2322
Mailing address
PO BOX 5848, CAREFREE, AZ 85377-5848
(480) 595-0431
(480) 595-2322
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
AZ2726
AZ
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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