Healthcare Provider Details

I. General information

NPI: 1679898407
Provider Name (Legal Business Name): STEPHEN BOROWSKY, M.D., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/05/2010
Last Update Date: 04/05/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1110 E MISSOURI AVE SUITE 110
PHOENIX AZ
85014-2707
US

IV. Provider business mailing address

1110 E MISSOURI AVE SUITE 110
PHOENIX AZ
85014-2707
US

V. Phone/Fax

Practice location:
  • Phone: 602-254-2505
  • Fax: 602-254-2551
Mailing address:
  • Phone: 602-254-2505
  • Fax: 602-254-2551

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number11837
License Number StateAZ

VIII. Authorized Official

Name: DR. STEPHEN BOROWSKY
Title or Position: PRESIDENT
Credential: M.D.
Phone: 602-254-2505