Robert B Bourne in Salt Lake City - Sports Medicine
Robert B Bourne - NPI 1487646998
Robert B Bourne is a Sports Medicine in Salt Lake City, Utah. Robert B Bourne practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Robert B Bourne is 1487646998. The last update date is 2022-02-09.
Robert B Bourne's current location address is 1160 E 3900 S Ste 5000, Salt Lake City, Utah. You can contact this provider via phone number 8012628486 and fax number 8012617429. The mailing address for Robert B Bourne is 1160 E 3900 S Ste 5000, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert B Bourne |
|---|---|
| Address | 1160 E 3900 S Ste 5000, Salt Lake City, Utah |
| Phone Number | 8012628486 |
| Fax Number | 8012617429 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1487646998 |
|---|---|
| Provider Enumeration Date | 2005-08-19 |
| Last Updated Date | 2022-02-09 |
Provider Mailing Address Detail
| Address | 1160 E 3900 S Ste 5000 |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841241275 |
| Phone Number | 8012628486 |
| Fax Number | 8012617429 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Xx0005X |
| Licence No | 180189-1205 |
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Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9941 | UT | -- |
Post Comment/ Review Below
What is the Robert B Bourne's unique identification number?
The Robert B Bourne has been assigned the NPI (National Provider Identifier) Number 1487646998 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Robert B Bourne?
The Robert B Bourne is situated at 1160 E 3900 S Ste 5000, in the city of Salt Lake City, state of UT, with the zip code 841241275.
What is the Robert B Bourne's specialty and taxonomy code?
The Robert B Bourne's specialty is Sports Medicine, and the corresponding taxonomy code is 207Xx0005X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1487646998 to Robert B Bourne?
The Centers for Medicare & Medicaid Services originally issued the 1487646998 to Robert B Bourne on 2005-08-19.
As of what date were the details pertaining to Robert B Bourne last refreshed?
The information related to the Robert B Bourne, including its address, specialty, and other relevant details, was last updated on 2022-02-09.