MEDICARE: DRS ALWAY BALAZS AND ASSOCIATES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207YX0602X	Otolaryngic Allergy Physician	34002666	OH

General Provider Information

NPI Number	:	1134391303
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DRS ALWAY BALAZS AND ASSOCIATES INC

Provider Business Mailing Address
First Line	:	425 W GRAND AVE
Second Line	:	SUITE 2003
City	:	DAYTON
State	:	OH
Zip	:	45405-4722
Country	:	US
Telephone Number	:	937-723-5888
Fax Number	:	937-226-0825

Provider Business Practice Location Address
First Line	:	425 W GRAND AVE
Second Line	:	SUITE 2003
City	:	DAYTON
State	:	OH
Zip	:	45405-4722
Country	:	US
Telephone Number	:	937-723-5888
Fax Number	:	937-226-0825

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JOHN ALLAN BALAZS
Credential	:	DO
Telephone Number	:	937-723-5888

Provider Enumeration Date	:	03/28/2008
Last Update Date	:	03/28/2008

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