Individual
MR. TIMOTHY MICHAEL BALISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
705 MARKETPLACE PLZ STE 200, STEAMBOAT SPRINGS, CO 80487-1841
(970) 879-6663
(970) 871-1234
Mailing address
705 MARKETPLACE PLZ STE 200, STEAMBOAT SPRINGS, CO 80487-1841
(970) 879-6663
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
055.0031177
VT
363AS0400X
Surgical Physician Assistant
Primary
PA.0008649
CO
Other
Enumeration date
08/07/2013
Last updated
03/31/2026
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