Larry Dale Balzer in Edmond - Geriatric Medicine
Larry Dale Balzer - NPI 1235129370
Larry Dale Balzer is a Geriatric Medicine in Edmond, Oklahoma. Larry Dale Balzer practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for Larry Dale Balzer is 1235129370. The last update date is 2016-12-21.
Larry Dale Balzer's current location address is 105 S Bryant, Edmond, Oklahoma. You can contact this provider via phone number 4053595229 and fax number 4053595214. The mailing address for Larry Dale Balzer is 105 S Bryant, Edmond, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry Dale Balzer |
|---|---|
| Address | 105 S Bryant, Edmond, Oklahoma |
| Phone Number | 4053595229 |
| Fax Number | 4053595214 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1235129370 |
|---|---|
| Provider Enumeration Date | 2005-10-27 |
| Last Updated Date | 2016-12-21 |
Provider Mailing Address Detail
| Address | 105 S Bryant |
|---|---|
| City | Edmond |
| State | Oklahoma (OK) |
| Post Code | 73034 |
| Phone Number | 4053595229 |
| Fax Number | 4053595214 |
Provider's Primary Taxonomy Detail
| Speciality | Geriatric Medicine |
|---|---|
| Taxonomy | 207Qg0300X |
| Licence No | E1498 |
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Definition: A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00231789 | TX | RAIL ROAD RETIREMENT ID | |
| 108018103 | TX | FIRSTCARE PROVIDER NUMBER | |
| 115029404 | TX | -- | |
| 100116910A | OK | -- | |
| 4060556 | TX | HEALTHMARKET |
Post Comment/ Review Below
What is the Larry Dale Balzer's 1235129370?
The Larry Dale Balzer's NPI (National Provider Identifier) Number is 1235129370. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Larry Dale Balzer?
The Larry Dale Balzer is physically situated at 105 S Bryant, in the city of Edmond, state of OK, with the postal code 73034.
What is Larry Dale Balzer's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Larry Dale Balzer is Geriatric Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Qg0300X.
When did the Larry Dale Balzer receive its 1235129370?
The Larry Dale Balzer was issued its 1235129370 on 2005-10-27, which is the date when the organization was assigned this unique identifier.
When was the information regarding Larry Dale Balzer most recently updated?
The details pertaining to the Larry Dale Balzer, including its address, specialty, and other relevant information, were last refreshed on 2016-12-21.