R S Balboa Mdpc
R S Balboa Mdpc is an Internal Medicine Physician in Port Huron, Michigan. Licensed in Michigan. Registered with an NPI since 2009.
- Licensed in
- MI
- In the registry since
- 2009
Practice location Address checks out
1201 Stone St Ste 5Port Huron, MI 48060-3563
Phone: (810) 966-9556
Fax: (810) 966-4898
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence RB028997 (MI) |
|---|
Record details
| NPI number | 1801024807 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ronaldo Balboa — Owner · (810) 966-9556 |
| NPI enumerated | June 29, 2009 |
| Last updated in NPPES | December 15, 2009 |
| Mailing address | 1201 Stone St Ste 5, Port Huron, MI 48060-3563 |
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