Individual
MICHAEL BORTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9701 LANDMARK PARKWAY DR STE 207, SUITE 103, SAINT LOUIS, MO 63127-1665
(314) 920-0588
(314) 849-8737
Mailing address
9701 LANDMARK PARKWAY DR, SUITE 207, SAINT LOUIS, MO 63127-1665
(314) 849-8700
(314) 849-8737
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
R5G81
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203507504
—
MO
05
—
203507512
—
MO
Enumeration date
09/08/2005
Last updated
06/07/2016
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