Dana S Balderrama in Lake Havasu City - Plastic Surgery

Dana S Balderrama - NPI 1326087206

Dana S Balderrama is a Plastic Surgery in Lake Havasu City, Arizona. Dana S Balderrama practices all healthcare services and medical treatments related to Plastic Surgery. The NPI Number for Dana S Balderrama is 1326087206. The last update date is 2023-11-15.

Dana S Balderrama's current location address is 1945 Mesquite Ave, Lake Havasu City, Arizona. You can contact this provider via phone number 9284539487 and fax number 9284539562. The mailing address for Dana S Balderrama is 1945 Mesquite Ave, Lake Havasu City, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Dana S Balderrama
Address 1945 Mesquite Ave, Lake Havasu City, Arizona
Phone Number 9284539487
Fax Number 9284539562
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1326087206
Provider Enumeration Date 2006-06-06
Last Updated Date 2023-11-15

Provider Mailing Address Detail

Address 1945 Mesquite Ave
City Lake Havasu City
State Arizona (AZ)
Post Code 86403
Phone Number 9284539487
Fax Number 9284539562

Provider's Primary Taxonomy Detail

Speciality Plastic Surgery
Taxonomy 208200000X
Licence No 32551
Definition:
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or c

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
857625 AZ --

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FAQs about Dana S Balderrama

What is the unique 10-digit identification code assigned to Dana S Balderrama by the Centers for Medicare & Medicaid Services?

The Dana S Balderrama has been issued the NPI (National Provider Identifier) 1326087206, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Dana S Balderrama's facilities are geographically located?

The facilities of Dana S Balderrama are physically situated at the following location: 1945 Mesquite Ave, Lake Havasu City, AZ, 86403.

What is Dana S Balderrama's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Dana S Balderrama is Plastic Surgery, and the taxonomy code that classifies this field of practice is 208200000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1326087206 to Dana S Balderrama?

The Centers for Medicare & Medicaid Services assigned the 1326087206 to Dana S Balderrama on 2006-06-06.

As of what date were the details related to Dana S Balderrama most recently updated or revised?

The information pertaining to Dana S Balderrama, including its address, specialty, and other relevant details, was last updated or revised on 2023-11-15.

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