Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LARRY AVIS BOURG, M.D.
ActiveSpecialist · PARKER, CO
Registration Details
- NPI Number
- 1205800182
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 15, 2006 (20.206660643526 yrs)
- Last Updated
- Aug 8, 2023
- License
-
39560 (CO)
Practice Information
- Address
-
12230 LIONESS WAYPARKER, CO, 801345603Browse CO providers · Browse ZIP 80134
- Phone
- 7206449355
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in PARKER, CO
| Name | Credential | NPI |
|---|---|---|
| DR. MICHAEL AUSTIN GLASS | MD | 1164425047 |
| DR. WILLIAM NICHOLAS MANIATIS | MD | 1154324044 |
| DR. JOEL MARK KAUFMAN | MD | 1407859390 |
| DR. JONATHAN JAY SEIDLIN | MD | 1649273533 |
| DR. JAMES M JASKUNAS | MD | 1538159637 |
| MR. PAUL SKRAMSTAD | P.T. | 1689624165 |
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.