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Individual

DR. ERIC JASON BOREN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2121 17TH ST, BAKERSFIELD, CA 93301-3704
(661) 327-9693
(661) 327-0749
Mailing address
2121 17TH ST, BAKERSFIELD, CA 93301-3704
(661) 327-9693
(661) 327-0749

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
A77407
CA
207R00000X
Internal Medicine Physician
A774070
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
A774070
CA
Enumeration date
01/11/2006
Last updated
07/31/2008
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