Doctor Name: | ROSA BORDERS |
NPI Number: | 1356394019 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | MD00029107 |
Business Practice Address: | 521 N Young St Kgh Medical Mall Kennewick, WA - 993367806 |
Business Phone Number: | 5095855222 |
Business Fax Number: | 5095855271 |
Mailing Address: | 320 W 10th Ave, Suite 106 KENNEWICK |
State: | WA |
Postal Code: | 993366302 |
Phone Number: | 5095865897 |
Fax Number: | 5095865897 |
NPI Enumeration Date: | 05/17/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | MD00029107 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |