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Organization
JASDEEP S BAL MD A PROFESSIONAL MEDICAL CORPORATION
Active
Organization
JASDEEP S BAL MD A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASDEEP S BAL MD (OWNER)
(916) 835-5396
Entity
Organization
Contact information
Practice address
3385 BORDEAUX DR, EL DORADO HILLS, CA 95762-3984
(916) 835-5396
Mailing address
3385 BORDEAUX DR, EL DORADO HILLS, CA 95762-3984
(916) 835-5396
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
00A812395
CA
Other
Enumeration date
10/23/2007
Last updated
03/19/2014
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