William Bruce Bourland Od PC

NPI #1619147733 in Evanston, Wyoming

Provider Information

NPI Number: 1619147733
Entity Type: Organization
Organization Name: William Bruce Bourland Od PC
Primary Specialty: Optometrist
Enumeration Date: Mar 4, 2008
Last Updated: Jan 24, 2011

Practice Location

Address: 701 FRONT ST
City: Evanston
State: Wyoming
ZIP Code: 82930-3522
Phone: (307) 789-8820

Authorized Official

Name: WILLIAM BOURLAND
Title: PRESIDENT
Phone: (307) 789-8820

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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