Organization
BEAVERCREEK DERMATOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHRYN V BALAZS DO (PRACTICE OWNER PHYSICIAN)
(937) 427-4600
Entity
Organization
Contact information
Practice address
3572 DAYTON-XENIA RD, SUITE 105, BEAVERCREEK, OH 45432-2838
(937) 427-4600
(937) 427-4520
Mailing address
3572 DAYTON-XENIA RD, SUITE 105, BEAVERCREEK, OH 45432-2838
(937) 427-4600
(937) 427-4520
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/06/2006
Last updated
09/11/2025
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