Individual
MR. ROBERT C BORDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA C
Contact information
Practice address
6701 AIRPORT BLVD, SUITE B 114, MOBILE, AL 36608-6705
(251) 633-5155
(251) 633-5125
Mailing address
6701 AIRPORT BLVD, SUITE B 114, MOBILE, AL 36608-6705
(251) 633-5155
(251) 633-5125
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA-456
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4645995
AETNA
FL
01
—
59074070
BSAL
FL
Enumeration date
11/22/2005
Last updated
07/08/2007
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