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Individual

ADAM J. BALZER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ANP

Contact information

Practice address
500 W THOMAS RD, SUITE 900, PHOENIX, AZ 85013-4224
(602) 406-3540
(602) 406-7186
Mailing address
FILE 56765, LOS ANGELES, CA 90074-0001
(602) 406-3860
(602) 406-6132

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN112110
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
126350
AZ
Enumeration date
03/07/2006
Last updated
04/13/2012
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