Individual
DR. GREGORY DON BALCERAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
920 STANTON L YOUNG BLVD, OKLAHOMA CITY, OK 73104-5036
(405) 271-5963
Mailing address
21962 N COUNTY ROAD 3220, PAULS VALLEY, OK 73075-9003
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/15/2021
Last updated
05/08/2023
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