NPI 1104538438

Patrick a Bordoy

Practitioner Other Technician Marion, IL

Practice location

Address: 3403 Heartland St, Marion, IL 62959-6393
Phone: (618) 997-5311

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in Illinois →

Registry record

NPI: 1104538438
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Dec 2022
Record last updated: 19 Dec 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.