Doctor Name: | MR. DENNIS L. BALMER |
NPI Number: | 1912090416 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RPT |
License Number: | RPT-300 |
Business Practice Address: | 1304 Cleveland Blvd Caldwell, ID - 83605 |
Business Phone Number: | 2088599569 |
Business Fax Number: | 2083765183 |
Mailing Address: | 1304 Cleveland Blvd, CALDWELL |
State: | ID |
Postal Code: | 83605 |
Phone Number: | 2088599569 |
Fax Number: | 2083765183 |
NPI Enumeration Date: | 10/02/2006 |
NPI Last Update Date: | 05/28/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | RPT-300 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ID |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |