DAVID CLARKE BOURQUE

CHARLESTON, SC
NPI1578118170
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: SC  3492)
Enumeration Date2019-08-09
Last Update Date2025-02-26
Business Address
DAVID CLARKE BOURQUE PA-C
2093 HENRY TECKLENBURG DR STE 200E
CHARLESTON, SC 29414-5742
Phone number: 843-958-2500
Mailing Address
DAVID CLARKE BOURQUE PA-C
PO BOX 751649
CHARLOTTE, NC 28275-1649
Phone number: 888-472-0043
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