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SIERRA M BOURNE M.D.

>> Emergency Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1659682532

Individual Registrant:
 SIERRA M BOURNE M.D.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
150 PIONEER LN  BISHOP, CA 93514-2556 US
Tel: 760-873-5811  Fax: --

Contact information for business:
PO BOX 7909  MAMMOTH LAKES, CA 93546-7909 US
Tel: 760-914-2850  Fax: --

Registration Information:
NPI: 1659682532
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207P00000XAllopathic & Osteopathic Physicians
Emergency Medicine
AZR72184

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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