Individual
DR. KORNEL D BALON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
206 2ND ST E, BRADENTON, FL 34208-1000
(941) 746-5111
Mailing address
1167 WYETH DR, NOKOMIS, FL 34275-4443
(941) 786-1905
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
036097210
IL
207L00000X
Anesthesiology Physician
Primary
ME117961
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036097210
—
IL
Enumeration date
09/05/2006
Last updated
01/14/2019
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