Individual
PETER BALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1613 EUREKA RD, SUITE 100, ROSEVILLE, CA 95661
(916) 788-8201
(916) 788-8205
Mailing address
PO BOX 44, LOOMIS, CA 95650
(916) 788-8201
(916) 788-8205
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G63997
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G639970
—
CA
Enumeration date
10/05/2006
Last updated
07/08/2007
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