Organization
CORNERSTONE PROFESSIONAL ASSOCIATES
Active
Other names
Hayden Lake Family Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK P BORSHEIM MD (OWNER PHYSICIAN)
(208) 772-0785
Entity
Organization
Contact information
Practice address
8181 CORNERSTONE DR, HAYDEN, ID 83835
(208) 772-0785
(208) 762-2704
Mailing address
8181 CORNERSTONE DR, HAYDEN, ID 83835
(208) 772-0785
(208) 762-2704
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
805031100
—
ID
Enumeration date
11/22/2005
Last updated
08/07/2008
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