Mr. William Sullivan Bourquard

MD | Pediatrics | Male

Mr. William Sullivan Bourquard, MD is a Boise, Idaho based Pediatric doctor with medical specialization in General Pediatrics. Current practice location of Mr. William Sullivan Bourquard is 6148 N Discovery Way, Ste 100, Boise, Idaho - 83713-0201. He can be contacted on phone at 208-322-5437 and fax number 208-322-4638. Mr. William Sullivan Bourquard is a sole proprietor of his business.
NPI number (Unique professional ID) for Mr. William Sullivan Bourquard is 1568451193 which was assigned by NPPES on 17 Oct, 2005 and it was last updated on 19 May, 2022. Mr. William Sullivan Bourquard license number is M5223 for Pediatrics (208000000X) in Idaho.
Mr. William Sullivan Bourquard is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Mr. William Sullivan Bourquard basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
Specialization :Pediatrics
Provider Name :Mr. William Sullivan Bourquard
Credential :MD
Gender :Male
Sole Proprietor : Yes
Business Address:
Mr. William Sullivan Bourquard address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address :6148 N Discovery Way, Ste 100
Boise, ID, 83713-0201
United States
Phone Number :208-322-5437
Fax Number :208-322-4638
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : 1568451193
NPI Entity Type : Individual
First Enrolment Date : 17 Oct, 2005
Last Updated On : 19 May, 2022
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. William Sullivan Bourquard are as mentioned. Primary taxonomy code for Mr. William Sullivan Bourquard, MD is 208000000X (Pediatrics).
Taxonomy Code SpecialityPrimaryLicense No.State
208000000XPediatricsYesM5223ID
Legacy Identifiers:
Other legacy medical identifiers of Mr. William Sullivan Bourquard such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
003597000MEDICAIDID
52233OtherIDBLUE CROSS
000010006127OtherIDBLUE SHIELD
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address :6148 N Discovery Way, Ste 100
Boise, ID, 83713-0201
United States
Phone Number :208-322-5437
Fax Number :208-322-4638
Business Location:
Patients can refer following map for directions to Mr. William Sullivan Bourquard practice address. Don't forget to take prior appointment before visiting.

** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.