Individual
TANYA MARIE BALOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
845 E WARNER RD STE 101, CHANDLER, AZ 85225-1058
(480) 981-2700
Mailing address
PO BOX 20610, MESA, AZ 85277-0610
(833) 584-1347
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
007621
AZ
Other
Enumeration date
05/21/2015
Last updated
06/05/2023
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