MR. Earl Douglas Bourgoyne, BSCPO
NPI #1114937000 in Albuquerque, New Mexico
Provider Information
- NPI Number
- 1114937000
- Entity Type
- Individual
- Name
- MR. Earl Douglas Bourgoyne, BSCPO
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Orthotic Fitter
- Credential
- BSCPO
- Enumeration Date
- Aug 9, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1501 SAN PEDRO DR SE
- City
- Albuquerque
- State
- New Mexico
- ZIP Code
- 87108-5153
- Phone
- (505) 256-2756
Specialties & Taxonomy Codes
| Specialty |
|---|
| Orthotic Fitter |
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