Individual
BLAIRE BORISOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
NAVAL MEDICAL CENTER SAN DIEGO 34800 BOB WILSON DRIVE, SAN DIEGO, CA 92134-5000
(949) 300-4575
Mailing address
NAVAL MEDICAL CENTER SAN DIEGO 34800 BOB WILSON DRIVE, SAN DIEGO, CA 92134-5000
(949) 300-4575
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
208D00000X
General Practice Physician
Primary
0102208743
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/28/2023
Last updated
04/10/2025
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