Individual
DR. ALAN BORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1599 J ST, GRAND FORKS AFB, ND 58205-6306
(701) 747-5544
Mailing address
1599 J ST, GRAND FORKS AFB, ND 58205-6306
(701) 747-5544
(701) 747-5469
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29272
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225442528
NPI
—
Enumeration date
06/13/2014
Last updated
10/01/2021
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