IndividualActive
Philip Borde, IDMT
NPI 1194041426 · Independent Duty Medical Technicians · Grand Forks Afb, ND
Provider details
- NPI number
- 1194041426
- Entity type
- Individual
- Primary specialty
- Independent Duty Medical TechniciansOther Service Providers
- Credential
- IDMT
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
1599 Jones St
Grand Forks Afb, ND 58205
Phone: (701) 747-5193
Approximate (ZIP-level) locationGet directions
Mailing address
1599 Jones St
Grand Forks Afb, ND 58205
Registry dates
- Enumerated
- 2010-04-12
- Last updated
- 2025-12-15
- Certified
- 2025-12-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.