Organization
GARY A BALSTER MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY ALLEN BALSTER M.D. (PRESIDENT)
(937) 299-1918
Entity
Organization
Contact information
Practice address
2218 S PATTERSON BLVD, DAYTON, OH 45409-1930
(937) 299-1918
(937) 299-4832
Mailing address
2218 S PATTERSON BLVD, DAYTON, OH 45409-1930
(937) 299-1918
(937) 299-4832
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35051153
OH
2084P0804X
Child & Adolescent Psychiatry Physician
35051153
OH
2084P0805X
Geriatric Psychiatry Physician
35051153
OH
Other
Enumeration date
07/29/2006
Last updated
05/19/2011
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