Individual
JOSEPH BALCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3419 MAIN ST, KANSAS CITY, MO 64111-1910
(816) 277-5975
Mailing address
4742 NW FLINTRIDGE RD, RIVERSIDE, MO 64150-1108
(816) 277-5975
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
LC001675083
MO
Other
Enumeration date
11/05/2019
Last updated
11/20/2019
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