Individual
MICHAEL BALATICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15 MEDICAL DR, STE. #1100, SALT LAKE CITY, UT 84112-1100
(801) 581-2121
Mailing address
15 N. MEDICAL DRIVE E., STE. 1100, SALT LAKE CITY, UT 84112
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
1205
UT
Other
Enumeration date
04/05/2017
Last updated
04/14/2022
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