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Organization

WILLIAM A. BOURLAND, MD, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WILLIAM ABBOTT BOURLAND MD (PRESIDENT)
(208) 947-0988
Entity
Organization

Contact information

Practice address
222 N 2ND ST, SUITE 112, BOISE, ID 83702-6109
(208) 947-0988
(208) 947-0989
Mailing address
222 N 2ND ST, SUITE 112, BOISE, ID 83702-6109
(208) 947-0988
(208) 947-0989

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
M5187
ID

Other

Enumeration date
05/29/2007
Last updated
02/29/2008
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