Provider Demographics
NPI:1922382944
Name:BORIK HOSPITALIST GROUP, INC.
Entity Type:Organization
Organization Name:BORIK HOSPITALIST GROUP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:BORIK
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:480-628-3929
Mailing Address - Street 1:1900 W. CARLA VISTA DR. #7150
Mailing Address - Street 2:PO BOX 7150
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85246
Mailing Address - Country:US
Mailing Address - Phone:602-733-0803
Mailing Address - Fax:480-457-8380
Practice Address - Street 1:161 W RODEO RD
Practice Address - Street 2:
Practice Address - City:CASA GRANDE
Practice Address - State:AZ
Practice Address - Zip Code:85122-6498
Practice Address - Country:US
Practice Address - Phone:520-836-1772
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-10
Last Update Date:2020-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Single Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty