MEDICARE: DR. ANTHONY V BORGIA DPM

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
1	213ES0103X	Foot & Ankle Surgery Podiatrist	8901	NV

General Provider Information

NPI Number	:	1104850635
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANTHONY V BORGIA DPM

Provider Business Mailing Address
First Line	:	9260 W SUNSET RD STE 201
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-4903
Country	:	US
Telephone Number	:	702-947-2005
Fax Number	:	702-947-4923

Provider Business Practice Location Address
First Line	:	9260 W SUNSET RD STE 201
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-4903
Country	:	US
Telephone Number	:	702-947-2005
Fax Number	:	702-947-4923

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2006
Last Update Date	:	11/16/2017

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