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Individual

STEPHEN C BORN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1001 POTRERO AVENUE, BLDG 30 5TH FLOOR, SAN FRANCISCO, CA 94110-3518
(415) 206-5200
(415) 206-8949
Mailing address
PO BOX 7464, SAN FRANCISCO, CA 94120-7464
(415) 206-3103
(415) 206-3872

Taxonomy

Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
G57100
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G571000
CA
Enumeration date
08/31/2006
Last updated
07/08/2007
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