Individual
BRUCE PETER BORDLEE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1430 TULANE AVE, NEW ORLEANS, LA 70112-2632
(504) 988-7627
(504) 988-7616
Mailing address
522 JOSEPH ST, NEW ORLEANS, LA 70115-2040
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
MD.205464
LA
2085R0202X
Diagnostic Radiology Physician
ME125351
FL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MD.205464
LA
2085R0204X
Vascular & Interventional Radiology Physician
ME125351
FL
Other
Enumeration date
03/29/2011
Last updated
03/19/2019
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