Organization
BALANCED HEALTH AND WELLNESS P.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GENIFER Y CHAVEZ M.D. (DIRECTOR)
(520) 323-1600
Entity
Organization
Contact information
Practice address
6226 E. PIMA ST., SUITE 3, TUCSON, AZ 85712
(520) 323-1600
Mailing address
6226 E. PIMA ST., SUITE 3, TUCSON, AZ 85712
(520) 323-1600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16259
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC5160
RAILROAD MEDICARE
AZ
Enumeration date
10/03/2006
Last updated
02/01/2008
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