Irene Mary Bourgault, D.O. Valid NPI

Individual provider · Family Medicine Physician · Las Vegas, NV

NPI

1164562120

Type

Individual (Type 1)

Primary specialty

Family Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207Q00000X

License number

350 (NV)

Sex

Female

Sole proprietor

No

Enumerated

2007-02-07

Last updated

2012-11-14