Individual
ANDREA BALOGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2780 S JONES BLVD, SUITE 205, LAS VEGAS, NV 89146-5628
(702) 714-1904
Mailing address
2780 S JONES BLVD, SUITE 205, LAS VEGAS, NV 89146-5628
(702) 714-1904
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1697
NV
Other
Enumeration date
01/03/2016
Last updated
01/03/2016
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