Individual
DR. JODY ELIZABETH BALICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1155 CLARENDON CRES, OAKLAND, CA 94610-1807
(510) 465-3998
Mailing address
1155 CLARENDON CRES, OAKLAND, CA 94610-1807
(510) 465-3998
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G52253
CA
Other
Enumeration date
09/20/2006
Last updated
02/05/2014
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