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NPI Code Detail

MEDICARE: BRITTANY LEIGH BORMAN PA-C

MEDICARE: BRITTANY LEIGH BORMAN PA-C
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
1363A00000XPhysician AssistantPA57305CA
2363A00000XPhysician AssistantMED-PAC-LIC-163931MT

General Provider Information

NPI Number : 1538700893
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTANY LEIGH BORMAN PA-C
Provider Business Mailing Address
First Line : PO BOX 31001
Second Line : 4114
City : PASADENA
State : CA
Zip : 91110-4114
Country : US
Telephone Number : 406-883-5680
Fax Number : 406-883-8910
Provider Business Practice Location Address
First Line : 6 13TH AVE E
Second Line :
City : POLSON
State : MT
Zip : 59860-5315
Country : US
Telephone Number : 406-883-5680
Fax Number : 406-883-8910
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2019
Last Update Date : 06/02/2026

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Directions to “ BRITTANY LEIGH BORMAN PA-C” Practice Location

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