DANA S BALDERRAMA MD
Surgery Yellow Pages
Lake Havasu City, Arizona
Provider NPI: 1326087206
Provider Information:DANA S BALDERRAMA MD
Practice Location:
1945 MESQUITE AVE D LAKE HAVASU CITY, AZ 86403 US
Tel: 928-453-9487 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 208200000X | Physicians Plastic Surgery | AZ | 32551 |
N | 2082S0105X | Physicians Plastic Surgery | AZ | 32551 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
857625 | AZ | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin