Bornstein Medical PLLC
Organization Active NPI Family Medicine Physician · Lakeside, AZ
NPI 1710117031 · NPPES record last updated Jul 21, 2009
Key facts
- NPI
- 1710117031
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 14650 (AZ)
- Legal business name
- BORNSTEIN MEDICAL PLLC
- Practice address
- 5448 S White Mountain Rd
Suite 270
Lakeside, AZ 85929 - Phone
- (928) 532-1122
- NPI assigned
- Jul 21, 2009
- Organization subpart
- No
Authorized official
- Name
- Aaron C Bornstein, MD
- Title
- President
- Phone
- (928) 532-1122
Practitioners 1
-
Jeffrey L Moffat, MD
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 14650 | AZ | Yes |
Addresses
Primary practice location
5448 S White Mountain Rd
Suite 270
Lakeside, AZ 85929
Mailing address
PO Box 10
Overgaard, AZ 85933-0010
Phone (928) 535-6667
Other providers in Lakeside, AZ
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- Barnet Dulaney Perkins Eye Center, PC
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- Susan Bligh Robertson
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- Ian Kay Brimhall
- Sarah Burnett
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All providers in Lakeside, AZ · Family Medicine Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.