Individual provider · Type 1 NPI

Douglas Rene Bourgon, MD

Diagnostic Radiology Physician · San Francisco, CA

NPI number 1730138876 Active

Practice location

450 Stanyan St
San Francisco, CA 94117-1019

Mailing address

File 1687, 1801 W Olympic Blvd
Pasadena, CA 91199-1687

Specialties and licenses

TaxonomyCodeLicense
Specialist 174400000X985247 (CA)
Diagnostic Radiology Physician Primary 2085R0202XA85247 (CA)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1730138876

Douglas Rene Bourgon, MD's National Provider Identifier is 1730138876, issued on May 8, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in San Francisco, CA. The record was last updated on Jul 9, 2015.