Doctor Name: | DR. GORDON LEE BALKA |
NPI Number: | 1518159854 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 3211A |
Business Practice Address: | General Chemical 324 Allied Chemical Rd Green River, WY - 82935 |
Business Phone Number: | 3078723397 |
Business Fax Number: | 3078723359 |
Mailing Address: | Po Box 551, GREEN RIVER |
State: | WY |
Postal Code: | 829350551 |
Phone Number: | 3078723397 |
Fax Number: | 3078723359 |
NPI Enumeration Date: | 08/10/2007 |
NPI Last Update Date: | 08/10/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2083P0500X |
License Number: | 3211A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Preventive Medicine |
Taxonomy Specialization: | Preventive Medicine/Occupational Environmental Medicine |
Taxonomy Definition: | A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |