Individual
JOHN E BALMER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
132 MECHANIC ST, SPARTANSBURG, PA 16434-0211
(814) 654-7334
(814) 654-7553
Mailing address
PO BOX 211, SPARTANSBURG, PA 16434-0211
(814) 654-7334
(814) 654-7553
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS007522L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001511070
—
PA
01
—
104643
UNISON
AL
Enumeration date
10/05/2006
Last updated
08/13/2012
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