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1093449761
L. DOUGLAS BALKE MD PLC
PRESCOTT, AZ
NPI
1093449761
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Entity Type
Organization
Authorized Contact
LEN BALKE
Owner/Provider
970-903-9993
Organization Subpart ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
Enumeration Date
2022-07-10
Last Update Date
2022-07-10
Business Address
L. DOUGLAS BALKE MD PLC
143 N MCCORMICK ST STE 103
PRESCOTT, AZ 86301-2725
Phone number: 928-235-6346
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Mailing Address
L. DOUGLAS BALKE MD PLC
845 CRYSTAL VIEW DR
PRESCOTT, AZ 86301-6696
Phone number: 928-235-6346
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