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NPI Code Detail

MEDICARE: DR. PHILLIP BORDERS MD

MEDICARE: DR. PHILLIP BORDERS MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician35065453OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1679571913
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PHILLIP BORDERS MD
Provider Business Mailing Address
First Line : 65 MESSIMER DR
Second Line :
City : NEWARK
State : OH
Zip : 43055-1874
Country : US
Telephone Number : 740-522-8477
Fax Number : 740-522-2941
Provider Business Practice Location Address
First Line : 65 MESSIMER DR
Second Line :
City : NEWARK
State : OH
Zip : 43055-1874
Country : US
Telephone Number : 740-522-8477
Fax Number : 740-522-2941
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2005
Last Update Date : 09/22/2008

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Directions to “ DR. PHILLIP BORDERS MD” Practice Location

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