Individual
HEATHER BOURKOVSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2525 N 8TH ST STE 202, GRAND JUNCTION, CO 81501
(970) 245-1168
(970) 242-4299
Mailing address
2160 PEREGRINE CT, GRAND JUNCTION, CO 81507-8794
(970) 628-5840
(970) 255-9641
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
50461
CO
207V00000X
Obstetrics & Gynecology Physician
O-0371
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010151852
REGENCE BLUE SHIELD
ID
01
—
000010167598
RBS LAMERE
ID
01
—
265447
ALTIUS OLD
ID
01
—
312947
ALTIUS
ID
05
—
COAAA3029
—
CO
01
—
S5882
BLUE CROSS OLD
ID
01
—
S6112
BLUE CROSS
ID
01
—
S6242
BCS LAMERE
ID
Enumeration date
05/03/2006
Last updated
05/06/2021
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