Organization
JOHN S BALKNAP DPM PC
Active
Other names
Mt. Hood Podiatry The Dalles
Organization subpart
No
Provider details
NPI number
Authorized official
VERONICA LUNDMARK (BILLER)
(503) 228-7106
Entity
Organization
Contact information
Practice address
1716 E 12TH ST, THE DALLES, OR 97058-3137
(541) 296-1006
(541) 298-1613
Mailing address
1716 E 12TH ST, THE DALLES, OR 97058-3137
(541) 296-1006
(541) 298-1613
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
01/17/2012
Last updated
01/17/2012
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