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1780085183
CODY STEVEN BALOGH
TACOMA, WA
NPI
1780085183
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: WA PAIP.TA.60598403)
Enumeration Date
2014-09-04
Last Update Date
2015-08-31
Business Address
-- CODY STEVEN BALOGH
315 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405-4234
Phone number: 253-403-1000
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Mailing Address
-- CODY STEVEN BALOGH
PO BOX 5215
TACOMA, WA 98415-0215
Phone number: 253-403-8327
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