| Organization Name: | SCOTT R. BOREN, MD, INC. |
| NPI Number: | 1245429844 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SCOTT ROLAND BOREN (PRESIDENT) |
| Mailing Address: | 140 Hoohana St Ste 209 Kahului |
| State: | HI US |
| Postal Code: | 967322467 |
| Phone Number: | 8088777901 |
| Fax Number: | |
| NPI Enumeration Date: | 10/18/2007 |
| NPI Last Update Date: | 10/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0206X |
| License Number: | 5562 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | HI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Radiology, Mammography |
| Taxonomy Definition: | |