Individual
TONYA M BALMAKUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
519 LATHAM DR, LOWELL, AR 72745-8360
(479) 750-0125
(479) 756-4154
Mailing address
519 LATHAM DR, LOWELL, AR 72745-8360
(479) 750-0125
(479) 756-4154
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
35.083195
OH
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
E-1267
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
169668001
—
AR
Enumeration date
04/02/2007
Last updated
09/19/2008
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