Individual
SAMUEL A BALK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4001 E BASELINE RD, GILBERT, AZ 85234-2726
(480) 632-4060
Mailing address
4001 E BASELINE RD, GILBERT, AZ 85234-2726
(480) 632-4060
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25580
AZ
Other
Enumeration date
01/12/2006
Last updated
07/08/2007
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