Individual
DR. MARIO S BORLONGAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14780 W MOUNTAIN VIEW BLVD, STE 201, SURPRISE, AZ 85374-7281
(623) 584-5250
(623) 584-4587
Mailing address
9524 W CAMELBACK RD, STE. 130-381, GLENDALE, AZ 85305-3104
(623) 584-5250
(623) 584-4587
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
31440
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
774291-01
—
AZ
Enumeration date
03/16/2006
Last updated
03/07/2023
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