Individual
DR. LELAND SIDES BOURDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2801 L ST, SACRAMENTO, CA 95816-5615
(916) 887-1130
Mailing address
2801 L ST, SACRAMENTO, CA 95816-5615
(916) 887-1130
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A135077
CA
Other
Enumeration date
03/28/2013
Last updated
06/28/2016
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