Individual
DR. CRAIG DEAN BOREMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1010 VALLEY ST, DAYTON, OH 45404
(937) 641-4000
(937) 641-4500
Mailing address
PO BOX 99432, CLEVELAND, OH 44193-0039
(937) 641-3000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35077035
OH
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
35077035
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0109505
—
OH
Enumeration date
09/12/2005
Last updated
10/06/2023
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