Individual
DALJIT S BAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14155 N 83RD AVE, STE 122, PEORIA, AZ 85381-5639
(623) 773-1161
(623) 773-1181
Mailing address
6501 W DAILEY ST, GLENDALE, AZ 85306-3770
(623) 773-1161
(623) 773-1181
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
27357
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
465410
—
AZ
Enumeration date
05/18/2006
Last updated
09/27/2011
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