Healthcare Provider Details

I. General information

NPI: 1518963503
Provider Name (Legal Business Name): PETER Z BALA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2005
Last Update Date: 02/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 MEDICAL PARK STE 219
WHEELING WV
26003-6391
US

IV. Provider business mailing address

30 MEDICAL PARK STE 219
WHEELING WV
26003-6391
US

V. Phone/Fax

Practice location:
  • Phone: 304-243-7160
  • Fax: 304-243-6372
Mailing address:
  • Phone: 304-243-7160
  • Fax: 304-243-6372

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number19281
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: