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Individual

ZACHARY A BORUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2700 23RD ST, SPIRIT LAKE, IA 51360-1158
(712) 336-2410
Mailing address
2700 23RD ST, SPIRIT LAKE, IA 51360-1158
(712) 336-2410

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
260262
NY
207Q00000X
Family Medicine Physician
Primary
41288
IA

Other

Enumeration date
04/21/2009
Last updated
02/09/2014
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