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Individual

DR. DAVID E BORGEMENKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2222 PHILADELPHIA DR, DAYTON, OH 45406-1813
(937) 278-2612
Mailing address
PO BOX 640446, CINCINNATI, OH 45264-0001
(937) 293-0247
(937) 293-0960

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0101047804
VA
207L00000X
Anesthesiology Physician
01043175A
IN
207L00000X
Anesthesiology Physician
Primary
35060140B
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000192031
ANTHEM
OH
05
0791951
OH
05
64042419
KY
Enumeration date
02/23/2006
Last updated
07/08/2007
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