Organization
BUCKEYE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TROY W BALGO DO (OWNER PROVIDER)
(740) 432-8600
Entity
Organization
Contact information
Practice address
918 WOODLAWN AVE, CAMBRIDGE, OH 43725-2949
(740) 699-1000
(740) 699-1004
Mailing address
PO BOX 57, SAINT CLAIRSVILLE, OH 43950-0057
(740) 699-1000
(740) 699-1004
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2389302
—
OH
01
—
DA2386
RR MEDICARE
OH
01
—
TRICARE
TRICARE
OH
Enumeration date
11/16/2006
Last updated
08/22/2020
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