SearchColorado224Z00000X

Mark Erwin Balbanida

NPI 1326565748 · on the registry since 2017 · sole proprietor

Practice

Address
3450 Quail Lake Rd Apt 161
Colorado Springs, CO 80906
Phone
(347) 707-5583

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
CO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-07-21

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 Colorado