Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PAUL BOURBEAU, PH.D.
ActiveMedical Microbiology · DANVILLE, PA
Registration Details
- NPI Number
- 1285609305
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 22, 2006 (20.161997865438 yrs)
- Last Updated
- Nov 18, 2011
- License
-
NO LICENSE (PA)
Practice Information
- Address
-
100 N ACADEMY AVEDANVILLE, PA, 178220131Browse PA providers · Browse ZIP 17822
- Phone
- 5702716338
- Fax
- 5702716105
- Primary Specialty
-
Medical Microbiology
207ZM0300X
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.