Individual
DAVID ABRAHAM BALTAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
13943 N 91ST AVE STE C101, PEORIA, AZ 85381-3688
(623) 972-3992
Mailing address
13943 N 91ST AVE STE C101, PEORIA, AZ 85381-3688
(623) 972-3992
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
010194
AZ
Other
Enumeration date
04/22/2017
Last updated
11/08/2023
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