Individual
BORU NALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
23 S MCNAB PKWY, SAN MANUEL, AZ 85631
(520) 385-2234
(520) 385-2113
Mailing address
PO BOX 10097, CASA GRANDE, AZ 85230-0097
(520) 836-3446
(520) 836-8807
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37364
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FQ031828
MEDICARE
—
01
—
FQ61788
MEDICARE
AZ
Enumeration date
09/05/2007
Last updated
01/18/2008
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