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SIERRA M BOURNE M.D.
>> Emergency Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1659682532
Individual Registrant: SIERRA M BOURNE M.D.
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
150 PIONEER LN BISHOP, CA 93514-2556 US
Tel: 760-873-5811 Fax: --
Tel: 760-873-5811 Fax: --
Contact information for business:
PO BOX 7909 MAMMOTH LAKES, CA 93546-7909 US
Tel: 760-914-2850 Fax: --
Tel: 760-914-2850 Fax: --
Registration Information:
NPI: 1659682532
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207P00000X | Allopathic & Osteopathic Physicians Emergency Medicine | AZ | R72184 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
