Individual
DR. DAVID A BALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1440 N MAIN ST, SPEARFISH, SD 57783-1505
(605) 644-4004
(605) 644-4006
Mailing address
353 FAIRMONT BLVD, ATTEN MEDICAL STAFF SERVICES, RAPID CITY, SD 57701-6000
(605) 719-7109
(605) 719-1027
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1971
SD
207Q00000X
Family Medicine Physician
37593
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
791313300
—
MN
Enumeration date
04/12/2006
Last updated
01/25/2012
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