| Doctor Name: | MR. JOSHUA TED BORGSTADT |
| NPI Number: | 1417097155 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | 2007002728 |
| Business Practice Address: | 95 S Pagosa Blvd Pagosa Springs, CO - 811478329 |
| Business Phone Number: | 9707319545 |
| Business Fax Number: | 9707310511 |
| Mailing Address: | 95 S Pagosa Blvd, PAGOSA SPRINGS |
| State: | CO |
| Postal Code: | 811478329 |
| Phone Number: | 9707319545 |
| Fax Number: | 9707310511 |
| NPI Enumeration Date: | 02/08/2007 |
| NPI Last Update Date: | 10/14/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 2007002728 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |