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 |
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| Provider Name : | Mr. William Sullivan Bourquard |
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| Credential : | MD |
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| Gender : | Male |
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| Sole Proprietor : | Yes |
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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 |
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| Phone Number : | 208-322-5437 |
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| Fax Number : | 208-322-4638 |
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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 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 17 Oct, 2005 |
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| Last Updated On : | 19 May, 2022 |
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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 | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | M5223 | ID |
Legacy Identifiers:
Other legacy medical identifiers of Mr. William Sullivan Bourquard such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 003597000 | MEDICAID | ID | |
| 52233 | Other | ID | BLUE CROSS |
| 000010006127 | Other | ID | BLUE 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 |
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| Phone Number : | 208-322-5437 |
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| Fax Number : | 208-322-4638 |
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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.