Individual
LEONARD BOURGEOIS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2900 HAWKINS DR, SEARCY, AR 72143-4802
(501) 380-2299
Mailing address
2900 HAWKINS DR, SEARCY, AR 72143-4802
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-16665
AR
Other
Enumeration date
04/06/2020
Last updated
08/03/2023
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