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Individual

JOHN M BORMES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
310 8TH AVE NW, ABERDEEN, SD 57401-2365
(605) 226-2108
(605) 229-7460
Mailing address
310 8TH AVE NW, ABERDEEN, SD 57401-2365
(605) 226-2108
(605) 229-7460

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
3849
SD
207W00000X
Ophthalmology Physician
7056
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
180028582
RAILROAD MEDICARE
ND
01
180028583
RAILROAD MEDICARE
SD
05
18166
ND
05
6300130
SD
Enumeration date
06/14/2005
Last updated
05/13/2024
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