John S Balknap Dpm PC
NPI #1922379379 in The Dalles, Oregon
Provider Information
- NPI Number
- 1922379379
- Entity Type
- Organization
- Organization Name
- John S Balknap Dpm PC
- Primary Specialty
- Podiatrist - Foot & Ankle Surgery
- Enumeration Date
- Jan 17, 2012
- Last Updated
- Jan 17, 2012
Practice Location
- Address
- 1716 E 12TH ST
- City
- The Dalles
- State
- Oregon
- ZIP Code
- 97058-3137
- Phone
- (541) 296-1006
Authorized Official
- Name
- VERONICA LUNDMARK
- Title
- BILLER
- Phone
- (503) 228-7106
Specialties & Taxonomy Codes
| Specialty |
|---|
| Podiatrist - Foot & Ankle Surgery — Foot & Ankle Surgery |
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