Individual
DR. KIMBERLY A BALOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1255 EAST FORT UNION BLVD, SUITE 200, MIDVALE, UT 84047
(801) 523-0761
Mailing address
2 BIRCHTREE LN, SANDY, UT 84092
(801) 523-0761
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
3085908-1205
UT
Other
Enumeration date
11/17/2005
Last updated
07/08/2007
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