RONALD BORIS

CARMEL, IN
NPI1427254945
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208800000X Urology
(Licence: IN  01068316A)
Additional Taxonomies208800000X Urology
(Licence: MI  430108005)
Enumeration Date2007-06-22
Last Update Date2014-01-24
Business Address
-- RONALD BORIS M.D.
11725 N ILLINOIS ST SUITE 558
CARMEL, IN 46032-3008
Phone number: 317-688-5500
Mailing Address
-- RONALD BORIS M.D.
250 N SHADELAND AVE STE 130 PROVIDER ENROLLMENT
INDIANAPOLIS, IN 46219-4959
Phone number: