Bali Surgical Practice Pllc

NPI #1659419653 in Charleston, West Virginia

Provider Information

NPI Number: 1659419653
Entity Type: Organization
Organization Name: Bali Surgical Practice Pllc
Primary Specialty: Surgery
Enumeration Date: Feb 2, 2007
Last Updated: Sep 4, 2024

Practice Location

Address: 400 COURT ST STE 203
City: Charleston
State: West Virginia
ZIP Code: 25301-1653
Phone: (304) 346-2254

Authorized Official

Name: VEDA AMBER EVANS
Title: BILLING MANAGER
Phone: (304) 346-2254

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery - Vascular Surgery — Vascular Surgery	2086S0129X
Surgery	208600000X	Primary

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