Individual
JOHN DARRELL BALAZS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
425 W GRAND AVENUE, SUITE 2003, DAYTON, OH 45405-4722
(937) 723-5888
(937) 226-0825
Mailing address
1290 CHISOLM TRL, DAYTON, OH 45458
(937) 886-9481
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
34005564
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0382616
—
OH
Enumeration date
09/06/2006
Last updated
02/25/2020
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