Individual
DR. BART J BORSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3048 SW 89TH ST, SUITE A, OKLAHOMA CITY, OK 73159-6385
(405) 703-1302
(405) 703-1649
Mailing address
PO BOX 5733, EDMOND, OK 73083-5733
(405) 775-9350
(405) 775-9360
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
18240
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100017760A
—
OK
01
—
603123100
DOL
—
01
—
73145196701
BCBS GRP BILLING #
OK
Enumeration date
04/05/2006
Last updated
08/20/2012
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