Organization
BORIBOON PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KINGKHAN BORIBOON M.D. (MEDICAL DOCTOR)
(313) 562-9500
Entity
Organization
Contact information
Practice address
3850 PELHAM ST, DEARBORN, MI 48124-3832
(313) 562-9500
(313) 562-7567
Mailing address
3850 PELHAM ST, DEARBORN, MI 48124-3832
(313) 562-9500
(313) 562-7567
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
MI
Other
Enumeration date
05/10/2007
Last updated
08/07/2008
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