Organization
DR BORNTRAGER & ASSOC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN BORNTRAGER OD (OPTOMETRIST)
(330) 806-2356
Entity
Organization
Contact information
Practice address
2428 WHIPPLE AVE NW, CANTON, OH 44708-1514
(330) 477-8531
Mailing address
2405 BUR OAK ST NE, CANTON, OH 44705-3122
(330) 806-2356
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5845
OH
Other
Enumeration date
04/15/2015
Last updated
04/15/2015
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