Doctor Name: | DR. ANTONIO GUINTO BALINGIT |
NPI Number: | 1285614081 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 01039002A |
Business Practice Address: | 9040 Reid Street Tacoma, Wa 98431 Apo, AE - 98431 |
Business Phone Number: | 2539681645 |
Business Fax Number: | |
Mailing Address: | Madigan Army Medical Center, 9040 Reid St., Attn: Mchj-qcr TACOMA |
State: | WA |
Postal Code: | 984310001 |
Phone Number: | 2539682252 |
Fax Number: | 2539683278 |
NPI Enumeration Date: | 01/18/2006 |
NPI Last Update Date: | 12/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 171000000X |
License Number: | 01039002A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
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. |