Individual
DR. ANNA RUTH BALOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
234 GOODMAN ST, CINCINNATI, OH 45219-2364
(513) 584-7284
(513) 584-3807
Mailing address
2830 VICTORY PARKWAY, PAYOR ENROLLMETN, CINCINNATI, OH 45206-1785
(513) 585-5507
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35.097974
OH
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD448883
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102826165
—
PA
Enumeration date
07/04/2008
Last updated
06/09/2021
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