Individual
DR. JERICHO P BORJA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1812 SAINT ANSELM LN, KNOXVILLE, TN 37922-8565
(865) 766-5260
Mailing address
1812 SAINT ANSELM LN, KNOXVILLE, TN 37922-8565
(865) 766-5260
(865) 766-5260
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD0000038752
TN
207Q00000X
Family Medicine Physician
38752
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
156565
BETTER HEALTH
TN
01
—
32312
TLC
TN
05
—
3897760
—
TN
01
—
4091992
BLUE CROSS BLUE SHIELD
TN
01
—
610401661
HUMANA/TRICARE
TN
Enumeration date
06/08/2005
Last updated
05/30/2012
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