DR. Larry Avis Bourg M.D.

  • 1205800182 NPI Number
  • |
  • Actived: 13 years ago
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According to our database, NPI number for DR. Larry Avis Bourg M.D. is 1205800182 and actived since Wednesday, February 15 2006. DR. Larry Avis Bourg M.D. is an individual provider specializes in Specialist, primary practice location is 1055 Clermont St, Denver, CO 80220. You can also contact DR. Larry Avis Bourg M.D. via telephone number is (303) 399-8020. Provider NPI information was last updated on 06/25/2010.

Recently Active NPIs

Overview of DR. Larry Avis Bourg M.D.

  • NPI number: 1053952572
  • Provider type: Individual
  • Specialty: Specialist
  • Gender: Male
  • Active since: 02/15/2006
  • Last updated: 06/25/2010

Primary Scrop of Practice

  • Taxonomy Code: 174400000X
  • Specialty: Specialist
  • License Number: 39560
  • License State: CO

Provider Mailing Address

  • Address: 1055 Clermont St
    Denver, CO 80220
  • Phone: 303-399-8020
  • Fax: 303-393-5128

Provider Practice Location

  • Address: 1055 Clermont St
    Denver, CO 80220
  • Phone: 303-399-8020
  • Fax: 303-393-5128

Scope of Practice

  • Taxonomy Code: 174400000X
  • Specialty: Specialist
  • License Number: 39560
  • License State: CO
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 93909365
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: CO
  • Issuer:

Question & Answers

What is the npi number?

  • Q: What is the npi number for DR. Larry Avis Bourg M.D.?
  • A: The npi number for DR. Larry Avis Bourg M.D. is 1205800182.
  • Q: What are DR. Larry Avis Bourg M.D.'s specialties?
  • A: DR. Larry Avis Bourg M.D.'s specialties are Specialist and different specialities.
  • Q: What is the medical license for DR. Larry Avis Bourg M.D.?
  • A: The medical license number for DR. Larry Avis Bourg M.D. is 39560 and issued in CO in USA.
  • Q: Where is DR. Larry Avis Bourg M.D. practice location?
  • A: DR. Larry Avis Bourg M.D. is practicing at 1055 Clermont St, Denver, CO 80220.
  • Q: How to contact DR. Larry Avis Bourg M.D.?
  • A: You can contact DR. Larry Avis Bourg M.D. via 303-399-8020.