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Individual
BRIAN ANTHONY BALTZ
Active
Individual
BRIAN ANTHONY BALTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E7150
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
194152001
—
AR
01
—
5AP26
MEDICARE
—
Enumeration date
06/25/2009
Last updated
01/09/2015
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