| Gabriela Balf Pc | |
|
1515 Burnt Boat Dr # 305 Bismarck ND 58503-1333 | |
| (701) 888-9779 | |
| (701) 425-0596 |
| Full Name | Gabriela Balf Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1515 Burnt Boat Dr # 305, Bismarck, North Dakota |
| Authorized Official Name and Position | Gabriela Balf (OWNER/MANAGER) |
| Authorized Official Contact | 2037070881 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gabriela Balf Pc 1515 Burnt Boat Dr # 305 Bismarck ND 58503-1333 Ph: (203) 707-0881 | Gabriela Balf Pc 1515 Burnt Boat Dr # 305 Bismarck ND 58503-1333 Ph: (701) 888-9779 |
| NPI Number | 1215625645 |
|---|---|
| Provider Enumeration Date | 04/25/2023 |
| Last Update Date | 06/21/2024 |
| Certification Date | 06/21/2024 |
| Medicare PECOS PAC ID | 6709230170 |
|---|---|
| Medicare Enrollment ID | O20231004000910 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215625645 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Gabriela Balf-soran |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124024724 PECOS PAC ID: 8820283211 Enrollment ID: I20131118001904 |
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