Individual
JEFFREY JAMES BORUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
34800 BOB WILSON DR, NMCSD, SAN DIEGO, CA 92134-1098
(619) 532-7579
Mailing address
4585 BERMUDA AVE, SAN DIEGO, CA 92107-3835
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
20A9610
CA
Other
Enumeration date
01/28/2007
Last updated
07/08/2007
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