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Individual

RICHARD J. BALIKIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
170 W 106TH ST, INDIANAPOLIS, IN 46290-1004
(317) 575-0330
Mailing address
170 W 106TH ST, INDIANAPOLIS, IN 46290-1004

Taxonomy

Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
01062183
IN

Other

Enumeration date
01/22/2007
Last updated
07/08/2007
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