Individual
DR. MIRIAM B. BORDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1075 NICHOLS RD, OSAGE BEACH, MO 65065-3093
(573) 302-2828
(573) 302-2830
Mailing address
PO BOX 1500, OSAGE BEACH, MO 65065-1500
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
2004015685
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209210509
—
MO
01
—
P00173681
RAILROAD MEDICARE
MO
Enumeration date
07/20/2005
Last updated
08/17/2012
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