Individual
BALZER C. SANDROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8185 CORPORATE WAY, MASON, OH 45040-9335
(513) 398-7171
(513) 398-8683
Mailing address
8185 CORPORATE WAY, MASON, OH 45040-9335
(513) 398-7171
(513) 398-8683
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35060666
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0941762
—
OH
Enumeration date
07/28/2005
Last updated
01/25/2021
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