Individual
ELLIOT HOWARD BORAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3719 DAUPHIN ST, STE 5A, MOBILE, AL 36608-1753
(251) 414-5900
(251) 342-3842
Mailing address
PO BOX 160928, MOBILE, AL 36616-1928
(251) 414-5900
(251) 342-3842
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
00007758
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009932925
—
AL
01
—
051517337
BCBS
AL
01
—
2910053
UNITED HEALTHCARE
AL
Enumeration date
07/13/2005
Last updated
11/07/2011
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