Anthony H Balcom in Hales Corners - Pediatric Urology

Anthony H Balcom - NPI 1487604906

Anthony H Balcom is a Pediatric Urology in Hales Corners, Wisconsin. Anthony H Balcom practices all healthcare services and medical treatments related to Pediatric Urology. The NPI Number for Anthony H Balcom is 1487604906. The last update date is 2021-11-19.

Anthony H Balcom's current location address is 5250 S 108th St, Hales Corners, Wisconsin. You can contact this provider via phone number 4145252400 and fax number 4145252401. The mailing address for Anthony H Balcom is 5250 S 108th St, Hales Corners, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Anthony H Balcom
Address 5250 S 108th St, Hales Corners, Wisconsin
Phone Number 4145252400
Fax Number 4145252401
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1487604906
Provider Enumeration Date 2006-05-12
Last Updated Date 2021-11-19

Provider Mailing Address Detail

Address 5250 S 108th St
City Hales Corners
State Wisconsin (WI)
Post Code 531301321
Phone Number 4145252400
Fax Number 4145252401

Provider's Primary Taxonomy Detail

Speciality Pediatric Urology
Taxonomy 2088P0231X
Licence No 26912
Definition:
Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1487604906 WI --
007000261M HUMANA

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FAQs about Anthony H Balcom

What is the unique identifier code issued to Anthony H Balcom by the Centers for Medicare & Medicaid Services (CMS)?

The Anthony H Balcom has been assigned the NPI (National Provider Identifier) 1487604906. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Where is the Anthony H Balcom located?

The Anthony H Balcom is located at 5250 S 108Th St, Hales Corners, WI 531301321.

What is Anthony H Balcom'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 Anthony H Balcom is Pediatric Urology, and the taxonomy classification code that categorizes this area of expertise is 2088P0231X.

On what date did the Centers for Medicare & Medicaid Services issue the 1487604906 to Anthony H Balcom?

The Anthony H Balcom received its 1487604906 assignment from the Centers for Medicare & Medicaid Services on 2006-05-12.

As of what date were the details pertaining to Anthony H Balcom last refreshed?

The information related to the Anthony H Balcom, including its address, specialty, and other relevant details, was last updated on 2021-11-19.

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