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Individual

DANIEL F BALKOVETZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
619 19TH STREET SOUTH, BIRMINGHAM, AL 35233
(205) 934-4011
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
15820
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000083909
BLUE CROSS
AL
05
000083909
AL
01
000083917
BLUE CROSS
AL
05
000083917
AL
05
009900035
AL
05
009968570
AL
01
051500524
BLUE CROSS
AL
01
051510646
BLUE CROSS
AL
01
16429
HEALTHSPRING
AL
01
700007698
RAILROAD MEDICARE
AL
01
E93006
VIVA
AL
Enumeration date
05/23/2006
Last updated
03/14/2013
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