Individual
DR. RICHARD JOSEPH BOURJAILY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
50 N PERRY ST, PONTIAC, MI 48342-2217
(248) 388-5000
Mailing address
50 N PERRY ST, PONTIAC, MI 48342-2217
(248) 388-5000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101020037
MI
207R00000X
Internal Medicine Physician
5101020037
MI
Other
Enumeration date
07/02/2012
Last updated
07/02/2012
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