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1154735439
FREDERICK BALCH
SAINT LOUIS, MO
NPI
1154735439
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MO 2014018368)
Enumeration Date
2014-06-16
Last Update Date
2014-06-16
Business Address
Dr. FREDERICK BALCH D.O
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141-8221
Phone number: 314-251-6000
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Mailing Address
Dr. FREDERICK BALCH D.O
410 VALLEY TRAIL DR APT B
BALLWIN, MO 63011-3782
Phone number: 636-248-8571
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