Kassandre S Balocca, PA

NPI #1205258027 in Tulsa, Oklahoma

Provider Information

NPI Number: 1205258027
Entity Type: Individual
Name: Kassandre S Balocca, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jan 14, 2014
Last Updated: Dec 1, 2014

Practice Location

Address: 1265 S UTICA AVE
Address 2: SUITE 300
City: Tulsa
State: Oklahoma
ZIP Code: 74104-4243
Phone: (918) 592-0999

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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