Individual
PHILLIP E BALMENTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
827 MCKAY CT, YOUNGSTOWN, OH 44512-5790
(330) 758-1422
Mailing address
827 MCKAY CT, YOUNGSTOWN, OH 44512-5790
(330) 758-1422
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36001644
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000116349
ANTHEM
OH
05
—
0240895
—
OH
01
—
34122396500
WORKMANS COPM
OH
01
—
341223965026
CARESOURCE
OH
01
—
341229365001
MEDICAL MUTUAL OF OHIO
OH
Enumeration date
01/24/2006
Last updated
10/28/2009
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