JOHN E BALMER JR. DO NPI 1073672341

NPI Information

JOHN E BALMER JR., DO is a rural health clinic center in Union City, PA. JOHN E BALMER JR., DO NPI is 1073672341. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Canadohta Lake Health Center.

The provider's business location address is:

35255 BROWN HILL RD
UNION CITY, PA
ZIP 16438
Phone: (814) 694-2339
Fax: (814) 694-2176

The provider's authorized official is Patricia M Balmer .
The authorized official title is Office Manager and has the following contact phone number (814) 654-7334.

The CLIA number assigned to this NPI record is 39D0878152 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/6/2006 and was last updated on 12/20/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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