Mary Evelyn Bourland in Rogers - Vascular Surgery
Mary Evelyn Bourland - NPI 1164480679
Mary Evelyn Bourland is a Vascular Surgery in Rogers, Arkansas. Mary Evelyn Bourland practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Mary Evelyn Bourland is 1164480679. The last update date is 2008-05-03.
Mary Evelyn Bourland's current location address is 2708 Rife Medical Ln, Rogers, Arkansas. You can contact this provider via phone number 4793383888 and fax number 4793384453. The mailing address for Mary Evelyn Bourland is 2708 Rife Medical Ln, Rogers, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Evelyn Bourland |
|---|---|
| Address | 2708 Rife Medical Ln, Rogers, Arkansas |
| Phone Number | 4793383888 |
| Fax Number | 4793384453 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1164480679 |
|---|---|
| Provider Enumeration Date | 2006-05-03 |
| Last Updated Date | 2008-05-03 |
Provider Mailing Address Detail
| Address | 2708 Rife Medical Ln |
|---|---|
| City | Rogers |
| State | Arkansas (AR) |
| Post Code | 727581452 |
| Phone Number | 4793383888 |
| Fax Number | 4793384453 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | E4355 |
|
Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 122998001 | AR | -- |
Post Comment/ Review Below
What is the Mary Evelyn Bourland's 1164480679?
The Mary Evelyn Bourland's NPI (National Provider Identifier) Number is 1164480679. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Mary Evelyn Bourland is geographically located?
The Mary Evelyn Bourland is physically situated at the following location: 2708 Rife Medical Ln, Rogers, AR, 727581452.
What is Mary Evelyn Bourland's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mary Evelyn Bourland's area of specialization is Vascular Surgery, and the corresponding taxonomy code that categorizes this field of practice is 2086S0129X.
When was the Mary Evelyn Bourland's 1164480679 issued?
The Mary Evelyn Bourland's 1164480679 was issued on 2006-05-03.
When was the information pertaining to Mary Evelyn Bourland most recently updated or revised?
The details related to Mary Evelyn Bourland, including its address, specialty, and other relevant information, were last updated or revised on 2008-05-03.
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