Individual
WILLIAM A BOURLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
222 N 2ND ST, STE 112, BOISE, ID 83702-6109
(208) 947-0988
Mailing address
222 N 2ND ST, STE 112, BOISE, ID 83702-6109
(208) 947-0988
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
M5187
ID
2086S0129X
Vascular Surgery Physician
Primary
M5187
ID
Other
Enumeration date
05/16/2006
Last updated
02/29/2008
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