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Individual

DR. FREDERICK BALCH JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O

Contact information

Practice address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(314) 251-6000
Mailing address
410 VALLEY TRAIL DR APT B, BALLWIN, MO 63011-3782
(636) 248-8571

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2014018368
MO

Other

Enumeration date
06/16/2014
Last updated
06/16/2014
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