Organization
LINDIE BORTON M.D. PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEXANDER D ABEL (OFFICE MANAGER)
(208) 287-5525
Entity
Organization
Contact information
Practice address
3811 N GARDEN CENTER WAY, BOISE, ID 83703-5007
(208) 287-5525
(208) 287-5530
Mailing address
3811 N GARDEN CENTER WAY, BOISE, ID 83703-5007
(208) 287-5525
(208) 287-5530
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
M62227
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A51454
UPIN
ID
01
—
G49757
LICENSE
CA
01
—
M6227
LICENSE
ID
Enumeration date
07/10/2008
Last updated
03/07/2023
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