Dr. Prudencio Sayson Balagtas Jr., D.O.
Physical Medicine & Rehabilitation in Cleveland, OH. Individual provider (NPI-1).
NPI number1366505059
StatusActive
Last updated in NPPESMay 9, 2019
Details
- NPI
- 1366505059
- Entity type
- Individual (NPI-1)
- Name
- Dr. Prudencio Sayson Balagtas Jr.
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 18, 2006
- Last updated
- May 9, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 58005145 | OH | Yes |
Practice location
9500 Euclid AveS40
Cleveland, OH 44195-0001
Phone 216-636-5860
Mailing address
2801 K StSte 410
Sacramento, CA 95816-5119
Phone 216-636-5860
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