Provider Demographics
NPI:1376534669
Name:BORCHERS, DAVID J (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:J
Last Name:BORCHERS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:100 ELK RUN DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:BASALT
Mailing Address - State:CO
Mailing Address - Zip Code:81621-9205
Mailing Address - Country:US
Mailing Address - Phone:970-927-8181
Mailing Address - Fax:970-927-8182
Practice Address - Street 1:100 ELK RUN DR
Practice Address - Street 2:SUITE 101
Practice Address - City:BASALT
Practice Address - State:CO
Practice Address - Zip Code:81621-9205
Practice Address - Country:US
Practice Address - Phone:970-927-8181
Practice Address - Fax:970-927-8182
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-04
Last Update Date:2020-05-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO36940207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO537548OtherMEDICARE PTAN
COC537568Medicare PIN