Individual
DR. SAMUEL JACKSON BALIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
860 BELTLINE RD, SPRINGFIELD, OR 97477-1091
(541) 344-4168
(458) 201-8510
Mailing address
860 BELTLINE RD, SPRINGFIELD, OR 97477-1091
(541) 344-4168
(458) 201-8510
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD197986
OR
207ND0900X
Dermatopathology Physician
MD197986
OR
Other
Enumeration date
06/29/2011
Last updated
12/07/2024
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