Individual
SAMUEL K BALK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4229 N 90TH ST, OMAHA, NE 68134-4136
(402) 401-6000
(402) 401-6015
Mailing address
4920 S 30TH ST, SUITE 103, OMAHA, NE 68107-1590
(402) 734-4110
(402) 734-3990
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1015
NE
Other
Enumeration date
02/25/2008
Last updated
02/05/2016
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