Greg Bourdon is a Physician Assistant in Missoula, Montana. Greg Bourdon practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Greg Bourdon is 1154365914. The last update date is 2017-05-04.
Greg Bourdon's current location address is 500 W Broadway St, Missoula, Montana. You can contact this provider via phone number 4063271827 and fax number 4063271697. The mailing address for Greg Bourdon is 500 W Broadway St, Missoula, Montana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Greg Bourdon |
|---|---|
| Address | 500 W Broadway St, Missoula, Montana |
| Phone Number | 4063271827 |
| Fax Number | 4063271697 |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1154365914 |
|---|---|
| Provider Enumeration Date | 2006-06-15 |
| Last Updated Date | 2017-05-04 |
Provider Mailing Address Detail
| Address | 500 W Broadway St |
|---|---|
| City | Missoula |
| State | Montana (MT) |
| Post Code | 598024008 |
| Phone Number | 4063271827 |
| Fax Number | 4063271697 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 57553 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Greg Bourdon by the Centers for Medicare & Medicaid Services?
The Greg Bourdon has been assigned the NPI (National Provider Identifier) 1154365914 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Greg Bourdon?
The Greg Bourdon is physically situated at 500 W Broadway St, in the city of Missoula, state of MT, with the postal code 598024008.
What is the area of specialization for Greg Bourdon, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Greg Bourdon is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1154365914 to Greg Bourdon?
The Centers for Medicare & Medicaid Services assigned the 1154365914 to Greg Bourdon on 2006-06-15.
When was the information regarding Greg Bourdon, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Greg Bourdon, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2017-05-04.