Individual
CODY STEVEN BALOGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
315 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4234
(253) 403-1000
Mailing address
PO BOX 5215, TACOMA, WA 98415-0215
(253) 403-8327
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PAIP.TA.60598403
WA
Other
Enumeration date
09/04/2014
Last updated
08/31/2015
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