Irene M. Bourgault Do Pc in Las Vegas - Family Medicine
Irene M. Bourgault Do Pc - NPI 1255511739
Irene M. Bourgault Do Pc is a Family Medicine in Las Vegas, Nevada. Irene M. Bourgault Do Pc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Irene M. Bourgault Do Pc is 1255511739. The last update date is 2007-12-18.
Irene M. Bourgault Do Pc's current location address is 3150 N Tenaya Way Ste 660, Las Vegas, Nevada. You can contact this provider via phone number 7026486228 and fax number 7026489868. The mailing address for Irene M. Bourgault Do Pc is 3150 N Tenaya Way Ste 660, Las Vegas, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Irene M. Bourgault Do Pc |
|---|---|
| Address | 3150 N Tenaya Way Ste 660, Las Vegas, Nevada |
| Phone Number | 7026486228 |
| Fax Number | 7026489868 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Bourgault Mary Irene |
| Credentials | D.O. |
| Telephone Number | 7026486228 |
NPI Number Detail
| NPI Number | 1255511739 |
|---|---|
| Provider Enumeration Date | 2007-11-13 |
| Last Updated Date | 2007-12-18 |
Provider Mailing Address Detail
| Address | 3150 N Tenaya Way Ste 660 |
|---|---|
| City | Las Vegas |
| State | Nevada (NV) |
| Post Code | 891280460 |
| Phone Number | 7026486228 |
| Fax Number | 7026489868 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 350 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| V32710 | NV | MEDICARE | |
| V32709 | NV | MEDICARE GROUP | |
| V39744 | NV | MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Irene M. Bourgault Do Pc by the Centers for Medicare & Medicaid Services?
The Irene M. Bourgault Do Pc has been issued the NPI (National Provider Identifier) 1255511739 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Irene M. Bourgault Do Pc is geographically located?
The Irene M. Bourgault Do Pc is physically situated at the following location: 3150 N Tenaya Way Ste 660, Las Vegas, NV, 891280460.
What is the Irene M. Bourgault Do Pc's specialty and taxonomy code?
The Irene M. Bourgault Do Pc's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
When did the Irene M. Bourgault Do Pc receive its 1255511739?
The Irene M. Bourgault Do Pc was issued its 1255511739 on 2007-11-13, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Irene M. Bourgault Do Pc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Irene M. Bourgault Do Pc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-12-18.