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Organization
W R BALASH MD
Active
Organization
W R BALASH MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM RICHARD BALASH MD (PHYSICIAN/PRESIDENT)
(724) 224-9300
Entity
Organization
Contact information
Practice address
1623 UNION AVENUE, NATRONA HEIGHTS, PA 15065
(724) 224-9300
(724) 224-7420
Mailing address
1623 UNION AVENUE, NATRONA HEIGHTS, PA 15065
(724) 224-9300
(724) 224-7420
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD 025487-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000956408
—
PA
01
—
0088188
UMWA
—
01
—
010119
CLINICAL LAB PERMIT
PA
01
—
101572
BLACK LUNG
—
01
—
1946404
HIGHMARK BLUE SHIELD
PA
01
—
39D0175563
CLIA
PA
01
—
DG9818
PALMETTO GBA
PA
Enumeration date
08/18/2005
Last updated
03/07/2023
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