1790124923 Mr. Brian Douglass Bourbon, CERTIFIED PEDORTHIST
Specialist
Active
Basic Information
- Full Name
- Mr. Brian Douglass Bourbon, CERTIFIED PEDORTHIST
- Gender
- Male
- Enumeration Date
- June 20, 2013
- Last Update
- June 20, 2013
Practice Location
- Address
- 11709 OLD BALLAS RD
SUITE 201
CREVE COEUR, MO 631417029 - Phone
- (314) 432-1903
- Fax
- (314) 432-5105
Mailing Address
- Address
- PO BOX 419074
CREVE COEUR, MO 631419074 - Phone
- (314) 432-1903
- Fax
- (314) 432-5105
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Specialist | 174400000X | Specialist | CPED3999 | MO | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CPED3999 | 01 | MO | CERTIFIED PEDORTHIST |
Frequently Asked Questions
What is Mr. Brian Douglass Bourbon, CERTIFIED PEDORTHIST's NPI number?
Mr. Brian Douglass Bourbon, CERTIFIED PEDORTHIST's NPI number is 1790124923.
Which doctor has NPI number 1790124923?
The doctor with NPI number 1790124923 is Mr. Brian Douglass Bourbon, CERTIFIED PEDORTHIST.
What is Mr. Brian Douglass Bourbon, CERTIFIED PEDORTHIST's practice address?
Mr. Brian Douglass Bourbon, CERTIFIED PEDORTHIST's practice address is 11709 OLD BALLAS RD, SUITE 201, CREVE COEUR, MO, 631417029.
Which doctor practices at 11709 OLD BALLAS RD, SUITE 201, CREVE COEUR, MO, 631417029?
Mr. Brian Douglass Bourbon, CERTIFIED PEDORTHIST practices at 11709 OLD BALLAS RD, SUITE 201, CREVE COEUR, MO, 631417029.
What is Mr. Brian Douglass Bourbon, CERTIFIED PEDORTHIST's mailing address?
Mr. Brian Douglass Bourbon, CERTIFIED PEDORTHIST's mailing address is PO BOX 419074, CREVE COEUR, MO, 631419074.
What is Mr. Brian Douglass Bourbon, CERTIFIED PEDORTHIST's phone number?
Mr. Brian Douglass Bourbon, CERTIFIED PEDORTHIST's phone number is (314) 432-1903.
Who is (314) 432-1903?
(314) 432-1903 is the phone number for Mr. Brian Douglass Bourbon, CERTIFIED PEDORTHIST.
What is Mr. Brian Douglass Bourbon, CERTIFIED PEDORTHIST's specialty?
Mr. Brian Douglass Bourbon, CERTIFIED PEDORTHIST's specialty is Specialist.
What type of doctor is Mr. Brian Douglass Bourbon, CERTIFIED PEDORTHIST?
Mr. Brian Douglass Bourbon, CERTIFIED PEDORTHIST is a Specialist.
Is Mr. Brian Douglass Bourbon, CERTIFIED PEDORTHIST a Specialist?
Yes, Mr. Brian Douglass Bourbon, CERTIFIED PEDORTHIST is a Specialist.
Is Mr. Brian Douglass Bourbon, CERTIFIED PEDORTHIST still practicing?
Yes, Mr. Brian Douglass Bourbon, CERTIFIED PEDORTHIST is currently practicing.
Is Mr. Brian Douglass Bourbon, CERTIFIED PEDORTHIST accepting new patients?
Mr. Brian Douglass Bourbon, CERTIFIED PEDORTHIST may be accepting new patients. Please call their office at (314) 432-1903 to inquire about availability.
Is NPI 1790124923 still active?
Yes, NPI 1790124923 is currently active.
Where does Mr. Brian Douglass Bourbon, CERTIFIED PEDORTHIST practice?
Mr. Brian Douglass Bourbon, CERTIFIED PEDORTHIST practices in CREVE COEUR, MO.
Is Mr. Brian Douglass Bourbon, CERTIFIED PEDORTHIST a male or female doctor?
Mr. Brian Douglass Bourbon, CERTIFIED PEDORTHIST is a male doctor.