L. Douglas Balke MD Plc

NPI #1093449761 in Prescott, Arizona

Provider Information

NPI Number
1093449761
Entity Type
Organization
Organization Name
L. Douglas Balke MD Plc
Primary Specialty
Psychiatry & Neurology - Psychiatry
Enumeration Date
Jul 10, 2022
Last Updated
Jul 10, 2022

Practice Location

Address
143 N MCCORMICK ST STE 103
State
Arizona
ZIP Code
86301-2725
Phone
(928) 235-6346

Authorized Official

Name
LEN BALKE, MD
Title
OWNER/PROVIDER
Phone
(970) 903-9993

Specialties & Taxonomy Codes

Specialty
Psychiatry & Neurology - PsychiatryPsychiatry

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