Individual
NUMAN C BALCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3635 VISTA AVE, SAINT LOUIS, MO 63110-2539
(314) 268-5783
(314) 268-5116
Mailing address
3691 RUTGER AVE, PROVIDER ENROLLMENT, ST LOUIS, MO 63110
(314) 977-4440
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
2005013990
MO
2085R0202X
Diagnostic Radiology Physician
Primary
2005013990
MO
2085U0001X
Diagnostic Ultrasound Physician
2005013990
MO
Other
Enumeration date
08/09/2006
Last updated
03/18/2008
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