Individual
DR. SAM BORNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 RIVER PARK PL W, SUITE #440, FRESNO, CA 93720-1545
(559) 256-5500
(559) 256-5505
Mailing address
30 RIVER PARK PL W, SUITE #440, FRESNO, CA 93720-1545
(559) 256-5500
(559) 256-5505
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
A44967
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A449670
—
CA
Enumeration date
08/25/2005
Last updated
09/27/2012
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