Individual
CLAUDIA M. BALTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1400 SENATE AVE, STE. 105, RED OAK, IA 51566-1271
(712) 623-7250
(712) 623-7257
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(712) 623-7250
(712) 623-7257
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002362
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47068731710
—
NE
Enumeration date
01/16/2013
Last updated
06/09/2014
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