Individual
WILLIAM M BALUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
9800 4TH AVE NE, SEATTLE, WA 98115-2152
(206) 302-1300
Mailing address
PO BOX 34584, SEATTLE, WA 98124-1584
(509) 241-7349
(509) 241-7628
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10004212
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8356594
—
WA
Enumeration date
02/08/2007
Last updated
05/09/2008
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