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Individual

ALAN JOHN BORNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
015022
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0400898
UNITED HEALTHCARE
LA
05
074222301
TX
01
110043416
RAILROAD MEDICARE
LA
05
1330701
LA
Enumeration date
06/20/2005
Last updated
12/22/2010
Update your record

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