WILLIAM SULLIVAN BOURQUARD

BOISE, ID
NPI1568451193
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208000000X Pediatrics
(Licence: ID  M5223)
Enumeration Date2005-10-17
Last Update Date2022-05-19
Business Address
Mr. WILLIAM SULLIVAN BOURQUARD MD
6148 N DISCOVERY WAY STE 100
BOISE, ID 83713-0201
Phone number: 208-322-5437
Mailing Address
Mr. WILLIAM SULLIVAN BOURQUARD MD
6148 N DISCOVERY WAY STE 100
BOISE, ID 83713-0201
Phone number: 208-322-5437