Individual
ALEX PETER BORMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4696 W OVERLAND RD, SUITE 228, BOISE, ID 83705-2845
(208) 343-4383
(208) 343-1482
Mailing address
4696 W OVERLAND RD, SUITE 228, BOISE, ID 83705-2845
(208) 343-4383
(208) 343-1482
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
L3247
TX
2084P0800X
Psychiatry Physician
Primary
M-9235
ID
Other
Enumeration date
09/07/2005
Last updated
04/30/2015
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