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Douglas Rene Bourgon, MD
Diagnostic Radiology Physician in San Francisco, California
NPI 1730138876

Douglas Rene Bourgon is a Diagnostic Radiology Physician based in Pasadena, CA and is specialized in Diagnostic Radiology. Douglas Rene Bourgon practices in San Francisco, CA and has the professional credentials of MD. The NPI Number for Douglas Rene Bourgon is 1730138876 and holds a License No. 985247 (California).

The current practice location address for Douglas Rene Bourgon is 450 Stanyan St, San Francisco, CA and can be reached out via phone at 415-750-5687.

Location: 450 Stanyan St, San Francisco, CA, 91199-1687
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730138876
Provider Name
Douglas Rene Bourgon
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
450 Stanyan St, San Francisco, CA, 91199-1687
Phone Number
415-750-5687
Fax Number
Provider Enumeration Date
05/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00248458 01 RAILROAD MEDICARE PIN
00A852470 05 CA
institution
Provider Business Practice Location Address Details
Address
450 Stanyan St
City
San Francisco
State
California
Zip
94117-1019
Phone Number
415-750-5687
Fax Number
person
Provider Business Mailing Address Details
Address
450 Stanyan St
City
San Francisco
State
California
Zip
94117-1019
Phone Number
415-750-5687
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
A85247 (California)
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.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
985247 (California)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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