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Individual
PHILLIP E BALMENTI
Active
Individual
PHILLIP E BALMENTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36001644
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000116349
ANTHEM
OH
05
—
0240895
—
OH
01
—
34122396500
WORKMANS COPM
OH
01
—
341223965026
CARESOURCE
OH
01
—
341229365001
MEDICAL MUTUAL OF OHIO
OH
Enumeration date
01/24/2006
Last updated
10/28/2009
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