Search › New Mexico › 104100000X
Yevgeni Balicek
NPI 1053702548 · on the registry since 2015
Practice
- Address
- 2010 Industrial Park Rd
Espanola, NM 87532 - Phone
- (505) 753-7395
- Fax
- (505) 753-8373
- Organisation at this address
- Rio Arriba County Hhs
El Centro Family Health
New Mexico Primary Care Training ConsortiumInferred from a shared address, not stated in the registry. - Clinicians at this address
- 52
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Also registered as
- 1041C0700X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-06-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico