Individual
DOUGLAS ALLEN BALSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
300 PASTEUR DR, SUMC-PEDS PHYSICIAN BILLING MC 5530, PALO ALTO, CA 94304-2203
(650) 498-7391
(650) 725-7888
Mailing address
300 PASTEUR DR, SUMC-PEDS PHYSICIAN BILLING MC 5530, PALO ALTO, CA 94304-2203
(650) 498-7391
(650) 725-7888
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A89930
CA
2080P0202X
Pediatric Cardiology Physician
A89930
CA
Other
Enumeration date
09/18/2007
Last updated
12/15/2021
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