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WILLIAM A. BOURLAND, M.D., P.A.

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Company Details

Name: WILLIAM A. BOURLAND, M.D., P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 07 Jul 2005 (20 years ago)
Financial Date End: 31 Jul 2010
Date dissolved: 05 Oct 2010
Entity Number: 489822
Place of Formation: IDAHO
File Number: 0000489822
ZIP code: 83702
County: Ada County
Mailing Address: 141 SKYLARK DR BOISE, ID 83702

National Provider Identifier

NPI Number:
1972704963

Authorized Person:

Name:
DR. WILLIAM ABBOTT BOURLAND
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
208600000X - Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
2089470989

Filing

Filing Name Filing Number Filing date
Annual Report 0003033161 2009-05-16
Annual Report 0003033164 2008-05-13
Annual Report 0003033163 2007-05-15
Change of Registered Office/Agent/Both (by Entity) 0003033162 2007-01-09
Annual Report 0003033160 2006-05-30

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Date of last update: 26 Sep 2024

Sources: Idaho Secretary of State