Healthcare Provider Details

I. General information

NPI: 1881955508
Provider Name (Legal Business Name): ERIN BALZER D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ERIN LITTLEJOHN

II. Dates (important events)

Enumeration Date: 05/30/2012
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1530 HEALTH CENTER PARKWAY BUILDING 100
YUKON OK
73099
US

IV. Provider business mailing address

1530 HEALTH CENTER PARKWAY BUILDING 100
YUKON OK
73099
US

V. Phone/Fax

Practice location:
  • Phone: 405-577-6473
  • Fax: 405-577-6474
Mailing address:
  • Phone: 405-577-6473
  • Fax: 405-577-6474

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number5350
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: