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1972038461
DAVID ABRAHAM BALTAZAR
PEORIA, AZ
NPI
1972038461
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: AZ 010194)
Enumeration Date
2017-04-22
Last Update Date
2023-11-08
Business Address
DAVID ABRAHAM BALTAZAR DO
13943 N 91ST AVE STE C101
PEORIA, AZ 85381-3688
Phone number: 623-972-3992
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Mailing Address
DAVID ABRAHAM BALTAZAR DO
13943 N 91ST AVE STE C101
PEORIA, AZ 85381-3688
Phone number: 623-972-3992
Copy
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