MEDICARE: JANET M BALBIERZ MD PC

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	208100000X	Physical Medicine & Rehabilitation Physician	180261-1205	UT

General Provider Information

NPI Number	:	1801829650
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JANET M BALBIERZ MD PC

Provider Business Mailing Address
First Line	:	166 E 5900 S STE B106
Second Line	:
City	:	MURRAY
State	:	UT
Zip	:	84107-7350
Country	:	US
Telephone Number	:	801-743-6444
Fax Number	:

Provider Business Practice Location Address
First Line	:	166 E 5900 S STE B106
Second Line	:
City	:	MURRAY
State	:	UT
Zip	:	84107-7350
Country	:	US
Telephone Number	:	801-743-6444
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JANET M BALBIERZ
Credential	:	M.D.
Telephone Number	:	801-743-6444

Provider Enumeration Date	:	07/07/2006
Last Update Date	:	11/16/2009

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