Individual provider · NPI-1

Anthony Michael Balda, DO

Emergency Medicine · Shreveport, LA

NPI number1699270785
StatusActive
Last updated in NPPESJan 18, 2024

Details

NPI
1699270785
Entity type
Individual (NPI-1)
Name
Anthony Michael Balda
Credential
DO
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 29, 2018
Certification date
Jan 18, 2024
Last updated
Jan 18, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency MedicineS9653TXYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

1501 Kings Highway
Emergency Medicine
Shreveport, LA 71130

Phone 318-626-2326

Mailing address

1501 Kings Highway
Emergency Medicine
Shreveport, LA 71130

Phone 318-626-2326

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