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NPI Profile for Dr MICHAEL BORUM in PHOENIX, AZ.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pastoral |
101YP1600X |
| NPI Number | 1730885716 |
|
| Status | Active | |
| Credentials | ED.D. | |
| Entity | Individual | |
| Enumeration date | 02/01/2023 | |
| Last updated | 02/01/2023 - About 3 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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MICHAEL BORUM
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