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Individual

DR. MARK A BORSCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 MEDICAL PARK BLVD, SUITE 458W, BRISTOL, TN 37620-0000
(423) 230-6900
(423) 844-4987
Mailing address
105 W STONE DR, SUITE 6A, KINGSPORT, TN 37660-3365
(423) 408-7220
(423) 408-7405

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
28132
TN
207RI0011X
Interventional Cardiology Physician
Primary
28132
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
060035221
KY
05
3804405
TN
05
6089968
VA
01
621112685
UNITED HEALTH CARE
TN
Enumeration date
06/28/2006
Last updated
05/23/2017
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