Individual
THOMAS M BALESTRERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1211 24TH ST, ANACORTES, WA 98233
(360) 293-3181
Mailing address
PO BOX 189, COUPEVILLE, WA 98239-0189
(360) 678-4071
(360) 678-6014
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD00035338
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0123267
DLI
WA
05
—
1105717
—
WA
01
—
36350
REGENCE BS
WA
Enumeration date
09/28/2006
Last updated
01/08/2008
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