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Individual

DR. RONALD LESLIE BORCHERDING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
3101 W KIMBERLY RD, DAVENPORT, IA 52806-3400
(563) 445-0152
(563) 445-0578
Mailing address
15 WILDWOOD TRL, BETTENDORF, IA 52722-3871
(563) 355-1163
(563) 359-8641

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
01611
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1433664
IA
Enumeration date
09/22/2005
Last updated
07/08/2007
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