NPI 1073505582 · live from the CMS NPI Registry
Michael H Bourne, MD
Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery in Salt Lake City, UT. National Provider Identifier 1073505582, active.
NPI record
| NPI | 1073505582 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery 207XS0114X |
| Practice location | 1160 E 3900 S Ste 5000, Salt Lake City, UT 84124 |
| Practice phone | 801-261-7479 |
| Mailing address | Po Box 100253, Atlanta, GA 30384 |
| Enumerated | August 19, 2005 |
| Last updated | January 27, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery primary | 207XS0114X | 1818921205 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.