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NPI Code Detail

MEDICARE: JOSHUA BALDERMAN M.D.

MEDICARE: JOSHUA BALDERMAN M.D.
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
12086S0129XVascular Surgery Physician2013018941MO
22086S0129XVascular Surgery Physician57400AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1306285325
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSHUA BALDERMAN M.D.
Provider Business Mailing Address
First Line : 3709 N CAMPBELL AVE STE 201
Second Line :
City : TUCSON
State : AZ
Zip : 85719-1563
Country : US
Telephone Number : 520-838-3540
Fax Number : 520-325-3526
Provider Business Practice Location Address
First Line : 2404 E RIVER RD STE 100
Second Line :
City : TUCSON
State : AZ
Zip : 85718-6521
Country : US
Telephone Number : 520-838-3540
Fax Number : 520-325-3526
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2013
Last Update Date : 11/11/2021

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