Individual provider · NPI-1

Michael R Balm, MD

Psychiatry & Neurology, Neurology · Springfield, OR

NPI number1164593646
StatusActive
Last updated in NPPESApr 26, 2021

Details

NPI
1164593646
Entity type
Individual (NPI-1)
Name
Michael R Balm
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Nov 13, 2006
Certification date
Apr 26, 2021
Last updated
Apr 26, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084N0400X Psychiatry & Neurology, NeurologyMD23795ORYes

Practice location

1 Hayden Bridge Way Ste 410
Springfield, OR 97477-1347

Phone 541-868-9430 · Fax 541-868-9450

Mailing address

1 Hayden Bridge Way Ste 410
Springfield, OR 97477-1347

Phone 541-868-9430 · Fax 541-868-9450

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