Doctor Name: | DEIRDRE A. BORO |
NPI Number: | 1831114859 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 0110001760 |
Business Practice Address: | 201 S Main St Suite 3100 Danville, VA - 245412927 |
Business Phone Number: | 4347994490 |
Business Fax Number: | 4347736895 |
Mailing Address: | 201 S Main St, Suite 3100 DANVILLE |
State: | VA |
Postal Code: | 245412927 |
Phone Number: | 4347994490 |
Fax Number: | 4347736895 |
NPI Enumeration Date: | 07/12/2006 |
NPI Last Update Date: | 12/08/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | 0110001760 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |