Individual
WILLIAM G BORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1200 W MOHAVE RD, PARKER, AZ 85344-6349
(928) 669-9201
Mailing address
31798 RIO VISTA RD, PARKER, AZ 85344-8509
(928) 890-8202
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN114864
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
618564
—
AZ
Enumeration date
08/03/2006
Last updated
04/03/2008
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