DR. Patrick W. Bourque, D.C.

NPI #1104939271 in Prairieville, Louisiana

Provider Information

NPI Number: 1104939271
Entity Type: Individual
Name: DR. Patrick W. Bourque, D.C.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Aug 16, 2006
Last Updated: May 7, 2009

Practice Location

Address: 17487 OLD JEFFERSON HWY
Address 2: SUITE D
City: Prairieville
State: Louisiana
ZIP Code: 70769-4043
Phone: (225) 744-3902

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary
Chiropractor - Sports Physician — Sports Physician	111NS0005X

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