NPI 1093449761

L. Douglas Balke MD Plc

Organisation Psychiatry Physician Prescott, AZ

Practice location

Address: 1680 W Iron Springs Rd STE 103, Prescott, AZ 86305-3313
Phone: (928) 235-6346
Fax: (928) 421-3182
Mailing address: 845 Crystal View Dr, Prescott, AZ 86301-6696

Authorised official

Name: Len Balke
Title: Owner/Provider
Phone: (970) 903-9993

Registered specialties

Psychiatry Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084P0800X

Other Psychiatry & Neurology providers in Arizona →

Registry record

NPI: 1093449761
Entity type: Organization
NPI issued: 10 Jul 2022
Record last updated: 27 Feb 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.