Provider Demographics
NPI:1679898407
Name:STEPHEN BOROWSKY, M.D., P.C.
Entity Type:Organization
Organization Name:STEPHEN BOROWSKY, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BOROWSKY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:602-254-2505
Mailing Address - Street 1:1110 E MISSOURI AVE
Mailing Address - Street 2:SUITE 110
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85014-2707
Mailing Address - Country:US
Mailing Address - Phone:602-254-2505
Mailing Address - Fax:602-254-2551
Practice Address - Street 1:1110 E MISSOURI AVE
Practice Address - Street 2:SUITE 110
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85014-2707
Practice Address - Country:US
Practice Address - Phone:602-254-2505
Practice Address - Fax:602-254-2551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-05
Last Update Date:2010-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ11837207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
D43722Medicare UPIN