Organization
PAINTED DESERT PRIMARY CARE & GYNECOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA M BORCHERS D.O. (DIRECTOR)
(928) 704-4336
Entity
Organization
Contact information
Practice address
2020 SILVER CREEK RD, BLDG. B, STE. 101A, BULLHEAD CITY, AZ 86442-8476
(928) 704-4336
(928) 704-0410
Mailing address
2020 SILVER CREEK RD, BLDG. B, STE. 101A, BULLHEAD CITY, AZ 86442-8476
(928) 704-4336
(928) 704-0410
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
3681
AZ
208D00000X
General Practice Physician
3681
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20420279
ARIZONA CORPORATION FILE #
AZ
Enumeration date
11/01/2015
Last updated
11/01/2015
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