Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Miles Balthazor

Individual provider Electroneurodiagnostic Specialist/Technologist · NPI 1518695121

Miles Balthazor is an Electroneurodiagnostic Specialist/Technologist in Tulsa, Oklahoma. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

1715 S Baltimore Ave
Tulsa, OK 74119-4807
Phone: (918) 895-7680
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Electroneurodiagnostic Specialist/Technologist (primary) Taxonomy 246ZE0600X

Record details

NPI number1518695121
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 11, 2022
Last updated in NPPESMay 11, 2026
Certification dateAugust 11, 2022
Mailing address1715 S Baltimore Ave, Tulsa, OK 74119-4807

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