person
Mr. Earl Douglas Bourgoyne, BSCPO
Orthotic Fitter in Albuquerque, New Mexico
NPI 1114937000

Earl Douglas Bourgoyne is a Orthotic Fitter based in Rio Rancho, NM. Earl Douglas Bourgoyne practices in Albuquerque, NM and has the professional credentials of BSCPO. The NPI Number for Earl Douglas Bourgoyne is 1114937000 and holds a License No. (New Mexico).

The current practice location address for Earl Douglas Bourgoyne is 1501 San Pedro Dr Se, Albuquerque, NM and can be reached out via phone at 505-256-2756.

Location: 1501 San Pedro Dr Se, Albuquerque, NM, 87144-4717
person
Provider Profile Details
NPI Number
1114937000
Provider Name
Earl Douglas Bourgoyne
Credential
BSCPO
Provider Entity Type
Individual
Gender
Male
Address
1501 San Pedro Dr Se, Albuquerque, NM, 87144-4717
Phone Number
505-256-2756
Fax Number
Provider Enumeration Date
08/09/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1501 San Pedro Dr Se
City
State
Zip
87108-5153
Phone Number
505-256-2756
Fax Number
person
Provider Business Mailing Address Details
Address
1501 San Pedro Dr Se
City
State
Zip
87108-5153
Phone Number
505-256-2756
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Orthotic Fitter
Speciality
-
Taxonomy
License No.
()
Definition
An individual trained in the management of fitting prefabricated orthoses.
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