Healthcare Provider Details

I. General information

NPI: 1316175979
Provider Name (Legal Business Name): WILLIAM JOSEPH BOROUGHF D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/22/2009
Last Update Date: 04/12/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2555 S DOWNING ST SUITE 260
DENVER CO
80210-5855
US

IV. Provider business mailing address

2555 S DOWNING ST SUITE 260
DENVER CO
80210-5855
US

V. Phone/Fax

Practice location:
  • Phone: 303-765-3800
  • Fax:
Mailing address:
  • Phone: 303-765-3800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207PT0002X
TaxonomyMedical Toxicology (Emergency Medicine) Physician
License NumberDR.0054949
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberDR.0054949
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: