Individual
DEBRA LEE BALKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1320 LAS TABLAS RD, SUITE E, TEMPLETON, CA 93465-9711
(805) 434-0960
(805) 434-0978
Mailing address
1320 LAS TABLAS RD, SUITE E, TEMPLETON, CA 93465-9711
(805) 434-0960
(805) 434-0978
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
G78900
CA
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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