LARRY AVIS BOURG

PARKER, CO
NPI1205800182
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy174400000X Specialist
(Licence: CO  39560)
Enumeration Date2006-02-15
Last Update Date2023-08-08
Business Address
DR. LARRY AVIS BOURG M.D.
12230 LIONESS WAY
PARKER, CO 80134-5603
Phone number: 720-644-9355
Mailing Address
DR. LARRY AVIS BOURG M.D.
9250 E COSTILLA AVE STE 540
GREENWOOD VILLAGE, CO 80112-3648
Phone number: 720-644-9355
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