Dr. Larry Avis Bourg, MD - Parker, CO

Dr. Larry Avis Bourg, MD

Specialist in Parker, Colorado

NPI 1205800182

Larry Avis Bourg is a Specialist based in Greenwood Village, CO. Larry Avis Bourg practices in Parker, CO and has the professional credentials of MD. The NPI Number for Larry Avis Bourg is 1205800182 and holds a License No. 39560 (Colorado).

The current practice location address for Larry Avis Bourg is 12230 Lioness Way, Parker, CO and can be reached out via phone at 720-644-9355.

Location: 12230 Lioness Way, Parker, CO, 80112-3648

NPI Number

1205800182

Provider Name

Larry Avis Bourg

Credential

Provider Entity Type

Individual

Gender

Male

Address

12230 Lioness Way, Parker, CO, 80112-3648

Phone Number

720-644-9355

Fax Number

Provider Enumeration Date

02/15/2006

Last Update Date

03/08/2024

Identifier	Type	State	Issuer
93909365	05	CO
013365	01	CO	KAISER COMMERCIAL NUMBER

Address

12230 Lioness Way

City

Parker

State

Colorado

Zip

80134-5603

Phone Number

720-644-9355

Fax Number

Address

12230 Lioness Way

City

Parker

State

Colorado

Zip

80134-5603

Phone Number

720-644-9355

Fax Number

Type

Other Service Providers

Classification

Specialist

Speciality

Taxonomy

174400000X

License No.

39560 (Colorado)

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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