Individual
SAMUEL GLENN BORAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
619 19TH ST S, BIRMINGHAM, AL 35249-1900
(205) 934-4794
Mailing address
619 19TH ST S, BIRMINGHAM, AL 35249-1900
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
29875
AL
Other
Enumeration date
05/28/2008
Last updated
10/18/2016
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