Dr Joseph Thomas Balzli, MD | |
1521 22nd Ave, Meridian, MS 39301-4016 | |
(601) 483-9358 | |
(601) 483-9664 |
Full Name | Dr Joseph Thomas Balzli |
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Gender | Male |
Speciality | Otolaryngology - Plastic Surgery Within The Head & Neck |
Location | 1521 22nd Ave, Meridian, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083647770 | NPI | - | NPPES |
00016214 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207YX0007X | Otolaryngology - Plastic Surgery Within The Head & Neck | 6695 (Mississippi) | Primary |
Entity Name | Meridian Ear Nose & Throat Clinicpa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457442758 PECOS PAC ID: 4688832470 Enrollment ID: O20120224000557 |
Mailing Address | Practice Location Address |
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Dr Joseph Thomas Balzli, MD 1521 22nd Ave, Meridian, MS 39301-4016 Ph: (601) 483-9358 | Dr Joseph Thomas Balzli, MD 1521 22nd Ave, Meridian, MS 39301-4016 Ph: (601) 483-9358 |
Thomas Hunter Mcmullen, Otolaryngology Medicare: Medicare Enrolled Practice Location: 2024 15th St Ste 5n, Meridian, MS 39301 Phone: 601-703-8360 | |
Kelsey Bounds Wood, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 2024 15th St Ste 5n, Meridian, MS 39301 Phone: 601-703-8360 Fax: 601-703-8369 | |
Dr. Robert Joseph Cater, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 1521 22nd Ave, Meridian, MS 39301 Phone: 601-483-9358 Fax: 601-483-9664 |