-- REBECCA LYNN BOURBON -- P.A.-C
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1003973231- Provider Type
- Individual Provider (NPI-1)
- Credentials
- P.A.-C
- Status
- Active
Contact & Location
- Address
- 4005 HIGH RESORT BLVD SE, RIO RANCHO, NM, 871245906
- Phone
- (505) 462-6000
- Fax
- (505) 462-8472
Specialties & Taxonomies
Physician Assistant
Primary License: NM #92-PA09
Physician Assistant, Medical
License: NM #92-PA09