Individual
TATE NEIL BORLESKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARRT
Contact information
Practice address
1101 E ELIZABETH ST, FORT COLLINS, CO 80524-4022
(970) 482-9414
(970) 482-0840
Mailing address
1101 E ELIZABETH ST, FORT COLLINS, CO 80524-4022
(970) 482-9414
(970) 482-0840
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
202654
CO
2471B0102X
Bone Densitometry Radiologic Technologist
202654
CO
Other
Enumeration date
11/19/2009
Last updated
11/19/2009
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