Larry Avis Bourg M.D.

NPI # 

Practice Address:

12230 Lioness Way

Parker, CO, 80134-5603

Practice Phone:

720-644-9355

License Number:

39560

License State:

CO

Taxonomy Grouping:

Other Service Providers

Taxonomy Classification:

Specialist

Taxonomy Code:

174400000X

Updated by NPPES on 8/8/2023. You can view the original data set for NPI # 1205800182 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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Larry Avis Bourg , M.D. 's

CMS CPT® coding data

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Larry Avis Bourg , M.D. 's

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