Doctor Name: | DR. JOANNE BALINTONA |
NPI Number: | 1154422384 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 42795 |
Business Practice Address: | 2200 Bergquist Drive Suite 1 Wilford Hall Ambulatory Surgical Center Lackland Afb, TX - 782369908 |
Business Phone Number: | 2102925290 |
Business Fax Number: | 2102923946 |
Mailing Address: | 2200 Bergquist Drive Suite 1, Wilford Hall Ambulatory Surgical Center LACKLAND AFB |
State: | TX |
Postal Code: | 782369908 |
Phone Number: | 2102925290 |
Fax Number: | 2102923946 |
NPI Enumeration Date: | 09/26/2006 |
NPI Last Update Date: | 05/30/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 171000000X |
License Number: | 42795 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CO |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Military Health Care Provider |
Taxonomy Specialization: | |
Taxonomy Definition: | Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |