Individual
DR. BLAINE MCDERMOTT BORDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
244 SAINT ANDREWS RD, CALHOUN, LA 71225-7931
(318) 396-1844
(318) 396-6163
Mailing address
244 SAINT ANDREWS RD, CALHOUN, LA 71225-7931
(318) 396-1844
(318) 396-6163
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
018916
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1915131
—
LA
Enumeration date
12/19/2006
Last updated
03/13/2012
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