Whalio Doctors

NPI 1033199740

Conrad S. Balcer, DO

Practitioner Cardiovascular Disease Physician Jefferson City, MO

Practice location

Address
1241 W Stadium Blvd, Jefferson City, MO 65109-6023
Phone
(573) 635-5264
Fax
(573) 761-4611
Mailing address
PO Box 104240, Jefferson City, MO 65110-4240

Registered specialties (2)

Cardiovascular Disease Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207RC0000X Licence R3H14 (MO)
Internal Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence R3H14 (MO)

Registry record

NPI
1033199740
Entity type
Individual
Sex (as registered)
Male
NPI issued
19 Jan 2006
Record last updated
31 Jul 2008

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.