Individual
DEIRDRE A. BORO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
201 S MAIN ST, SUITE 3100, DANVILLE, VA 24541-2927
(434) 799-4490
(434) 773-6895
Mailing address
655 MAIN ST, SACO, ME 04072-1699
(207) 294-5600
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
0110001760
VA
2085N0700X
Neuroradiology Physician
0110001760
VA
2085N0904X
Nuclear Radiology Physician
0110001760
VA
2085P0229X
Pediatric Radiology Physician
0110001760
VA
2085R0202X
Diagnostic Radiology Physician
0110001760
VA
2085R0204X
Vascular & Interventional Radiology Physician
0110001760
VA
2085U0001X
Diagnostic Ultrasound Physician
0110001760
VA
363A00000X
Physician Assistant
Primary
PA1847
ME
363AS0400X
Surgical Physician Assistant
0110001760
VA
Other
Enumeration date
07/12/2006
Last updated
12/14/2023
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