Individual
ANWER BALOCH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 N G ST, PORTERVILLE, CA 93257-3410
(559) 783-8063
(559) 783-8073
Mailing address
200 N G ST, PORTERVILLE, CA 93257-3410
(559) 783-8063
(559) 783-8073
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A50137
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A501370
—
CA
Enumeration date
04/12/2006
Last updated
07/08/2007
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