Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. EARL DOUGLAS BOURGOYNE, BSCPO
Active Sole ProprietorMR. EARL DOUGLAS BOURGOYNE, BSCPO is a Physical Therapist healthcare provider located in ALBUQUERQUE, New Mexico. NPI 1114937000 is currently active in the NPPES registry. Verify at CMS.
Physical Therapist · ALBUQUERQUE, NM
Registration Details
- NPI Number
- 1114937000
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 9, 2006 (19.978409744006 yrs)
- Last Updated
- Jul 8, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
1501 SAN PEDRO DR SEALBUQUERQUE, NM, 871085153Browse NM providers · Browse ZIP 87108
- Phone
- 5052562756
- Primary Specialty
-
Physical Therapist
225000000X
Other Physical Therapist Providers in ALBUQUERQUE, NM
| Name | Credential | NPI |
|---|---|---|
| MARCIA ALLEN | BA | 1871820977 |
| RYDER DOTY | CPOA, CFO, CFTS | 1679097117 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.