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Individual

DR. DANA GEOFFREY BORGESON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
3430 TAMIAMI TRL, STE B, PORT CHARLOTTE, FL 33952-8148
(855) 674-4624
(941) 883-8368
Mailing address
3410 STANLEY ST, STEVENS POINT, WI 54481-1325
(715) 344-1234
(715) 344-6367

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0102050201
VA
2085R0202X
Diagnostic Radiology Physician
18413
WI
2085R0202X
Diagnostic Radiology Physician
34.009943
OH
2085R0202X
Diagnostic Radiology Physician
OS5985
FL

Other

Enumeration date
01/31/2006
Last updated
07/08/2020
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