CODY STEVEN BALOGH

TACOMA, WA
NPI1780085183
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant Medical
(Licence: WA  PAIP.TA.60598403)
Enumeration Date2014-09-04
Last Update Date2015-08-31
Business Address
CODY STEVEN BALOGH
315 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405-4234
Phone number: 253-403-1000
Mailing Address
CODY STEVEN BALOGH
PO BOX 5215
TACOMA, WA 98415-0215
Phone number: 253-403-8327
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