Individual
DR. TEODORO EF BORDADOR JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
911 N SHELBY ST, SALEM, IN 47167
(812) 883-5881
(812) 883-8518
Mailing address
911 N SHELBY ST, SALEM, IN 47167
(812) 883-5881
(812) 883-8518
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01026068A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100362940
—
IN
Enumeration date
03/02/2006
Last updated
09/27/2011
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