Organization
BALANCEDOCS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY VAN ES (BILLING & CRENDENTIALING SUPERVISOR)
(541) 494-1050
Entity
Organization
Contact information
Practice address
3156 STATE ST, MEDFORD, OR 97504-8450
(541) 494-1050
Mailing address
3156 STATE ST, MEDFORD, OR 97504-8450
(541) 494-1050
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
11/18/2010
Last updated
11/18/2010
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