Provider Demographics
NPI:1598901225
Name:BORSAND, MARVIN A (DO)
Entity Type:Individual
Prefix:
First Name:MARVIN
Middle Name:A
Last Name:BORSAND
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2255 N SCOTTSDALE RD
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85257-2124
Mailing Address - Country:US
Mailing Address - Phone:480-464-8000
Mailing Address - Fax:480-990-2556
Practice Address - Street 1:2255 N SCOTTSDALE RD
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85257-2124
Practice Address - Country:US
Practice Address - Phone:480-464-8000
Practice Address - Fax:480-990-2556
Is Sole Proprietor?:No
Enumeration Date:2008-12-30
Last Update Date:2008-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ2261208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery