David Clarke Bourque, PA-C is a surgical physician assistant in Charleston, SC with 5 years of experience. David Clarke Bourque, PA-C NPI is 1578118170. 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:
1483 TOBIAS GADSON BLVD STE 202
CHARLESTON, SC
ZIP 29407-796
Phone: (843) 763-2320
Fax: (843) 763-4198
The NPI 1578118170 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 8/9/2019 and was last updated on 10/28/2020.