DR. GORDON LEE BALKA


Address: General Chemical, 324 Allied Chemical Rd, Green River, WY 82935
Phone: 3078723397

DR. GORDON LEE BALKA (NPI# 1518159854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518159854
Entity Type Individual
Full Name DR. GORDON LEE BALKA
Credential M.D.
Practice Address General Chemical
324 Allied Chemical Rd
Green River
WY 82935
Mailing Address Po Box 551
Green River
WY 82935-0551
Practice Telephone 3078723397
Practice Fax Number 3078723359
Mailing Telephone 3078723397
Mailing Fax Number 3078723359
Enumeration Date 2007-08-10
Last Update Date 2007-08-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2083P0500X Preventive Medicine
Specialization: Preventive Medicine/Occupational Environmental Medicine
3211A WY Allopathic & Osteopathic Physicians

Office Location

Street Address GENERAL CHEMICAL
324 ALLIED CHEMICAL RD
City GREEN RIVER
State WY
Zip Code 82935

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Taxonomy Information

Taxonomy Code 2083P0500X
Grouping Allopathic & Osteopathic Physicians
Classification Preventive Medicine
Specialization Preventive Medicine/Occupational Environmental Medicine

Taxonomy Definition

A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine.

Competitor

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City GREEN RIVER
Zip Code 82935

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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