Individual provider · NPI-1
John C. Balbas, M.D.
Orthopaedic Surgery, Sports Medicine · Tulsa, OK
NPI number1730201682
StatusActive
Last updated in NPPESOct 13, 2008
Details
- NPI
- 1730201682
- Entity type
- Individual (NPI-1)
- Name
- John C. Balbas
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 4, 2007
- Last updated
- Oct 13, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207XX0005X | Orthopaedic Surgery, Sports Medicine | 26150 | OK | Yes |
Practice location
4802 S 109th East AveTulsa, OK 74146-5822
Phone 918-392-1400 · Fax 918-392-1488
Mailing address
4802 S 109th East AveTulsa, OK 74146-5822
Phone 918-392-1400 · Fax 918-392-1488
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