MR. Earl Douglas Bourgoyne, BSCPO is an orthotic fitter in Albuquerque, NM. The provider is an individual trained in the management of fitting prefabricated orthoses. MR. Earl Douglas Bourgoyne, BSCPO NPI is 1114937000. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM
ZIP 87108-153
Phone: (505) 256-2756
The enumeration date for this NPI number is 8/9/2006 and was last updated on 7/8/2007.