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Individual

LOUIS B BALIZET

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3676 PARKER BLVD, SUITE 350, PUEBLO, CO 81008-2212
(719) 296-6000
(719) 545-1146
Mailing address
7951 MAPLEWOOD AVE, SUITE 300, GREENWOOD VILLAGE, CO 80111
(303) 930-7800
(303) 930-7860

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
19357
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
O1193572
CO
Enumeration date
12/06/2005
Last updated
12/09/2008
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