Individual
DR. PATRICK JOSEPH BOURKE IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1211 MEDICAL CENTER DR, NASHVILLE, TN 37232-3134
(207) 662-0111
Mailing address
547A CONGRESS ST UNIT 301, PORTLAND, ME 04101-3371
(301) 943-6233
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
55693
TN
207PS0010X
Sports Medicine (Emergency Medicine) Physician
55693
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/21/2014
Last updated
12/14/2017
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