Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. WILLIAM SULLIVAN BOURQUARD, MD
Active Sole ProprietorPediatrics · BOISE, ID
Registration Details
- NPI Number
- 1568451193
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 17, 2005 (20.52820484772 yrs)
- Last Updated
- May 19, 2022
- License
-
M5223 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6148 N DISCOVERY WAYSTE 100BOISE, ID, 837130201Browse ID providers · Browse ZIP 83713
- Phone
- 2083225437
- Fax
- 2083224638
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in BOISE, ID
| Name | Credential | NPI |
|---|---|---|
| DR. VELMA SUSAN BRADFORD | M.D. | 1629070636 |
| MR. GREGORY G JANOS | MD | 1336133776 |
| MRS. CATHY DIANE SANDSTROM | MD | 1215926845 |
| DR. KATHERINE S STEVENS | MD | 1124017462 |
| MR. THOMAS S PATTERSON | M.D. | 1467442467 |
| VAUN J ARCHIBALD | DO | 1417937517 |
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.