Individual
DR. WALTER P BORG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 W SAINT MARY BLVD, SUITE 120, LAFAYETTE, LA 70506-4600
(337) 593-9309
(337) 593-8527
Mailing address
501 W SAINT MARY BLVD, SUITE 120, LAFAYETTE, LA 70506-4600
(337) 593-9309
(337) 593-8527
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
036769
CT
174400000X
Specialist
Primary
13608R
LA
Other
Enumeration date
07/30/2006
Last updated
07/08/2007
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