Individual
DR. DENISE LOUISE BORDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
417 N 11TH ST, BOX 980447, RICHMOND, VA 23298-0447
(804) 828-8786
(804) 828-5466
Mailing address
417 N 11TH ST, BOX 980447, RICHMOND, VA 23298-0447
(804) 828-8786
(804) 828-5466
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101035412
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005863902
—
VA
01
—
110228061
RAILROAD MEDICARE PROVIDE
VA
01
—
322108
INDIVIDUAL BLUE SHIELD ID
VA
Enumeration date
06/28/2005
Last updated
07/09/2007
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