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NPI Code Detail

MEDICARE: DANIEL R BALCH MD

MEDICARE:   DANIEL R BALCH  MD
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
1207L00000XAnesthesiology PhysicianME34259CO
2207LP2900XPain Medicine (Anesthesiology) PhysicianME34259CO
3207LP3000XPediatric Anesthesiology PhysicianDR.0034259CO

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1050038176OTHERCORAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3A6618OTHERCOBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1326098443
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL R BALCH MD
Provider Business Mailing Address
First Line : DEPT # 1029
Second Line :
City : DENVER
State : CO
Zip : 80263-0001
Country : US
Telephone Number : 352-867-8898
Fax Number : 352-732-6282
Provider Business Practice Location Address
First Line : 4090 BRIARGATE PKWY
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80920-7815
Country : US
Telephone Number : 720-777-1234
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2006
Last Update Date : 07/16/2020

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