Individual
MR. RONALD JOHN BORGSTROM II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15053 W MULBERRY DR, GOODYEAR, AZ 85395-8846
(619) 988-2281
Mailing address
15053 W MULBERRY DR, GOODYEAR, AZ 85395-8846
(619) 988-2281
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
09/13/2012
Last updated
09/13/2012
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