Peter A Balousek MD

NPI 1063407716 - Neurological Surgery - 207T00000X

NPI Details
NPI 1063407716
Gender Male
Enumeration Date 09/19/2005
Last Updated 09/25/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
4033 TALBOT RD S
STE 520
RENTON WA, 98055-5772, US
Phone (425) 917-6209
Fax (425) 656-5596
Business Location
PO BOX 34876
SEATTLE WA, 98124-1876, US
Phone (425) 656-5412
Fax (425) 656-4096
Toxanomy
Taxonomy Code 207T00000X
License State Washington
License Number MD00035044
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According to our database, Dr. Peter A Balousek MD NPI is 1063407716, taxonomy code is 207T00000X and license number is MD00035044, license state is located at Washington. Peter A Balousek MD physically located at 4033 Talbot Rd S, Renton WA, 98055-5772. NPI Number Peter A Balousek MD has the Individual type.

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1063407716 NPI number is provided on an as is basis without warranty of any kind. 1063407716 is maintained by the National Plan & Provider Enumeration System. The contents of Peter A Balousek MD are for informational purposes only.