Dr. Michael H Bourne
Adult Reconstructive Orthopaedic Surgeon
1160 E 3900 S Ste 5000
Salt Lake City
, Utah 84124-1275
Dr. Michael H Bourne
Adult Reconstructive Orthopaedic Surgeon
1160 E 3900 S Ste 5000
Salt Lake City
, Utah 84124-1275
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About
Features
Specialties
- Adult Reconstructive Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Michael H Bourne
- Po Box 100253
- Atlanta, GA
- Zip : 30384-0253
- Phone :
Second Address
- Dr. Michael H Bourne
- 1160 E 3900 S Ste 5000
- Salt Lake City, UT
- Zip : 84124-1275
- Fax : (801) 261-7429
- Phone : (801) 261-7479
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 1818921205 | UT |
National Provider Identifier
| NPI | 1073505582 |
|---|---|
| Provider Name | Dr. Michael H Bourne |
| First Address | Atlanta, GA 30384-0253 |
| Second Address | Salt Lake City, UT 84124-1275 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/08/2005 |
| Last Update Date | 27/01/2022 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 09941 | (05) | UT |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.