Individual
DR. JUAN FABILE BALA III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
801 W 5TH AVE STE 416, SPOKANE, WA 99204-2841
(509) 838-2531
Mailing address
400 E 5TH AVE, SPOKANE, WA 99202-1334
(509) 838-2531
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD60097547
WA
Other
Enumeration date
04/13/2007
Last updated
08/16/2011
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