Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | 35046301B | OH |
NPI | 1013024728 |
---|---|
Provider Name | Dr. Samia W Borchers |
First Address | Dayton, OH 45429 |
Second Address | Dayton, OH 45429 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0320023 | UHC (01) | |
0554636 | (05) | OH |
3111515685001 | ANTHEM (01) | |
A80851 | (02) |