Individual
MARIYA NIKOLAYEVNA BALON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1400 E BOULDER ST, COLORADO SPRINGS, CO 80909-5533
(719) 365-1292
(719) 365-6997
Mailing address
1400 E BOULDER ST, COLORADO SPRINGS, CO 80909-5533
(719) 365-1292
(719) 365-6997
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DR.0057780
CO
207R00000X
Internal Medicine Physician
R72019
AZ
Other
Enumeration date
08/18/2010
Last updated
11/30/2016
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