| Dan Borgstadt Md Inc | |
|
255 W Herndon Ave Ste 103 Clovis CA 93612-0381 | |
| (559) 326-2999 | |
| (559) 326-2988 |
| Full Name | Dan Borgstadt Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 255 W Herndon Ave Ste 103, Clovis, California |
| Authorized Official Name and Position | Dan Borgstadt (AD) |
| Authorized Official Contact | 5593262999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dan Borgstadt Md Inc 255 W Herndon Ave Ste 103 Clovis CA 93612-0381 Ph: (559) 326-2999 | Dan Borgstadt Md Inc 255 W Herndon Ave Ste 103 Clovis CA 93612-0381 Ph: (559) 326-2999 |
| NPI Number | 1508515479 |
|---|---|
| Provider Enumeration Date | 03/19/2022 |
| Last Update Date | 03/19/2022 |
| Medicare PECOS PAC ID | 7113314329 |
|---|---|
| Medicare Enrollment ID | O20220418001503 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508515479 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Daniel L Borgstadt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457332330 PECOS PAC ID: 9335211895 Enrollment ID: I20080628000176 |
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