MR. Brian Douglass Bourbon, CERTIFIED PEDORTHIST is a specialist in Creve Coeur, MO. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MR. Brian Douglass Bourbon, CERTIFIED PEDORTHIST NPI is 1790124923. 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:
11709 OLD BALLAS RD
SUITE 201
CREVE COEUR, MO
ZIP 63141-029
Phone: (314) 432-1903
Fax: (314) 432-5105
The enumeration date for this NPI number is 6/20/2013 and was last updated on 6/20/2013.