Individual provider · NPI-1

Ean A Balyer, AA-C

Anesthesiologist Assistant · Aurora, CO

NPI number1447637871
StatusActive
Last updated in NPPESAug 23, 2019

Details

NPI
1447637871
Entity type
Individual (NPI-1)
Name
Ean A Balyer
Credential
AA-C
Sex
Male
Sole proprietor
No
Enumeration date
May 6, 2015
Last updated
Aug 23, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367H00000X Anesthesiologist AssistantANT.0000109COYes
367H00000X Anesthesiologist Assistant63-17WI

Practice location

12605 E 16th Ave
Aurora, CO 80045-2545

Phone 720-848-0000

Mailing address

Po Box 110429
Aurora, CO 80042-0429

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