PETER DANIEL BOURLAND Physician Assistant
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1710510565- Provider Type
- Individual Provider (NPI-1)
- Credentials
- Physician Assistant
- Status
- Active
Contact & Location
- Address
- 4420 LAKE BOONE TRL, RALEIGH, NC, 276077505
- Phone
- (919) 784-2576
- Fax
- (919) 784-2577
Specialties & Taxonomies
Physician Assistant
Physician Assistant
Primary License: NC #0010-14932
All Addresses
MAILING
130 M ST NE APT 1113
WASHINGTON, DC, 200027925