Individual
DR. COLLEEN B BALKAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
23000 MOAKLEY ST STE 102, LEONARDTOWN, MD 20650-2916
(301) 475-5555
(301) 475-5914
Mailing address
23000 MOAKLEY ST STE 102, LEONARDTOWN, MD 20650-2916
(301) 475-5555
(301) 475-5914
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
0101275178
VA
207X00000X
Orthopaedic Surgery Physician
Primary
D0094327
MD
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
D0094327
MD
Other
Enumeration date
05/11/2017
Last updated
04/12/2023
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