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Individual

STEPHEN LAWRENCE BORODKIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1255 EAST BROADWAY ROAD, SUITE 240, TEMPE, AZ 85282
(480) 929-5100
(480) 731-1066
Mailing address
4776 E GUADALUPE RD, APT #3084, GILBERT, AZ 85234-7501
(602) 955-5553

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
11357
NV
2084P0800X
Psychiatry Physician
Primary
25516
AZ

Other

Enumeration date
10/28/2005
Last updated
12/14/2009
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