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Individual

JOHN J BORSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4321 WASHINGTON ST, STE 1400, KANSAS CITY, MO 64111-5961
(816) 930-6035
(913) 234-1116
Mailing address
PO BOX 504807, SAINT LOUIS, MO 63150-4807
(913) 234-1496
(913) 234-1116

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2002012290
MO
2085R0204X
Vascular & Interventional Radiology Physician
Primary
2002012290
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100422770A
KS
05
205829005
MO
01
300130623
RAILROAD MEDICARE
MO
01
30790014
BCBS
MO
Enumeration date
06/07/2006
Last updated
12/06/2011
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