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JOHN S BALKNAP DPM PC NPI 1922379379


NPI Information

NPI: 1922379379
Provider Name: JOHN S BALKNAP DPM PC

Doing Business As: MT. HOOD PODIATRY THE DALLES

Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
1716 E 12TH ST
THE DALLES, OR
ZIP 97058
Phone: (541) 296-1006
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JOHN S BALKNAP DPM PC is a foot and ankle surgery podiatrist in The Dalles, OR. JOHN S BALKNAP DPM PC NPI is 1922379379. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mt. Hood Podiatry The Dalles.

The provider's business location address is:

1716 E 12TH ST
THE DALLES, OR
ZIP 97058-137
Phone: (541) 296-1006
Fax: (541) 298-1613

The provider's authorized official is Veronica Lundmark .
The authorized official title is Biller and has the following contact phone number (503) 228-7106.

The enumeration date for this NPI number is 1/17/2012 and was last updated on 1/17/2012.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0103XPodiatristFoot & Ankle SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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